Bernie Eleanor Komraus in Pontiac - Addiction (substance Use Disorder)

Bernie Eleanor Komraus - NPI 1447271424

Bernie Eleanor Komraus is a Addiction (substance Use Disorder) in Pontiac, Michigan. Bernie Eleanor Komraus practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Bernie Eleanor Komraus is 1447271424. The last update date is 2007-07-08.

Bernie Eleanor Komraus's current location address is 114 Orchard Lake Rd, Pontiac, Michigan. You can contact this provider via phone number 2488587766 and fax number 2488588227. The mailing address for Bernie Eleanor Komraus is 114 Orchard Lake Rd, Pontiac, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Bernie Eleanor Komraus
Address 114 Orchard Lake Rd, Pontiac, Michigan
Phone Number 2488587766
Fax Number 2488588227
Sole Proprietor Y
Credentials LPC, CAC I

NPI Number Detail

NPI Number 1447271424
Provider Enumeration Date 2006-07-22
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 114 Orchard Lake Rd
City Pontiac
State Michigan (MI)
Post Code 483412244
Phone Number 2488587766
Fax Number 2488588227

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No 2-00693
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

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FAQs about Bernie Eleanor Komraus

What is the unique 10-digit identification code assigned to Bernie Eleanor Komraus by the Centers for Medicare & Medicaid Services?

The Bernie Eleanor Komraus has been issued the NPI (National Provider Identifier) 1447271424, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Bernie Eleanor Komraus is geographically located?

The Bernie Eleanor Komraus is physically situated at the following location: 114 Orchard Lake Rd, Pontiac, MI, 483412244.

What is Bernie Eleanor Komraus's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Bernie Eleanor Komraus is Addiction (substance Use Disorder), and the taxonomy code that categorizes this field of expertise is 101Ya0400X.

When did Bernie Eleanor Komraus receive its 1447271424 assignment?

The Bernie Eleanor Komraus was assigned its 1447271424 on 2006-07-22, which is the date when this unique identifier was issued to the organization.

As of what date were the details related to Bernie Eleanor Komraus most recently updated or revised?

The information pertaining to Bernie Eleanor Komraus, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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