Judith Cavazos-Beal in Bloomington - Addiction (substance Use Disorder)
Judith Cavazos-Beal - NPI 1609093087
Judith Cavazos-Beal is a Addiction (substance Use Disorder) in Bloomington, Minnesota. Judith Cavazos-Beal practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Judith Cavazos-Beal is 1609093087. The last update date is 2023-12-04.
Judith Cavazos-Beal's current location address is 8120 Penn Ave S Ste 270, Bloomington, Minnesota. You can contact this provider via phone number 8003365973 and fax number 6122344689. The mailing address for Judith Cavazos-Beal is 8120 Penn Ave S Ste 270, Bloomington, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Judith Cavazos-Beal |
|---|---|
| Address | 8120 Penn Ave S Ste 270, Bloomington, Minnesota |
| Phone Number | 8003365973 |
| Fax Number | 6122344689 |
| Sole Proprietor | N |
| Credentials | LMFT, LADC |
NPI Number Detail
| NPI Number | 1609093087 |
|---|---|
| Provider Enumeration Date | 2007-04-19 |
| Last Updated Date | 2023-12-04 |
Provider Mailing Address Detail
| Address | 8120 Penn Ave S Ste 270 |
|---|---|
| City | Bloomington |
| State | Minnesota (MN) |
| Post Code | 554311320 |
| Phone Number | 8003365973 |
| Fax Number | 6122344689 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 302000 |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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What is the unique 10-digit identifier code issued to Judith Cavazos-Beal by the Centers for Medicare & Medicaid Services?
The Judith Cavazos-Beal has been assigned the NPI (National Provider Identifier) 1609093087 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Judith Cavazos-Beal?
The Judith Cavazos-Beal is situated at 8120 Penn Ave S Ste 270, in the city of Bloomington, state of MN, with the zip code 554311320.
What is Judith Cavazos-Beal's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Judith Cavazos-Beal is Addiction (substance Use Disorder), and the taxonomy code that classifies this field of practice is 101Ya0400X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1609093087 to Judith Cavazos-Beal?
The Centers for Medicare & Medicaid Services originally issued the 1609093087 to Judith Cavazos-Beal on 2007-04-19.
As of what date were the Judith Cavazos-Beal's details last updated?
The information pertaining to the Judith Cavazos-Beal, including its address, specialty, and other details, was most recently updated on 2023-12-04.
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