Jennifer Lynn Vought in Minneapolis - Addiction (substance Use Disorder)

Jennifer Lynn Vought - NPI 1265619225

Jennifer Lynn Vought is a Addiction (substance Use Disorder) in Minneapolis, Minnesota. Jennifer Lynn Vought practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Jennifer Lynn Vought is 1265619225. The last update date is 2008-01-22.

Jennifer Lynn Vought's current location address is 1911 Pleasant Ave. South, Minneapolis, Minnesota. You can contact this provider via phone number 6128749811 and fax number 6128749820. The mailing address for Jennifer Lynn Vought is 1911 Pleasant Ave. South, Minneapolis, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Jennifer Lynn Vought
Address 1911 Pleasant Ave. South, Minneapolis, Minnesota
Phone Number 6128749811
Fax Number 6128749820
Sole Proprietor N
Credentials LADC

NPI Number Detail

NPI Number 1265619225
Provider Enumeration Date 2008-01-22
Last Updated Date 2008-01-22

Provider Mailing Address Detail

Address 1911 Pleasant Ave. South
City Minneapolis
State Minnesota (MN)
Post Code 55403
Phone Number 6128749811
Fax Number 6128749820

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No 302010
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
302010 MN LADC

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FAQs about Jennifer Lynn Vought

What is the unique identifier code issued to Jennifer Lynn Vought by the Centers for Medicare & Medicaid Services (CMS)?

The Jennifer Lynn Vought has been assigned the NPI (National Provider Identifier) 1265619225. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you share the physical location details of Jennifer Lynn Vought?

The Jennifer Lynn Vought is situated at 1911 Pleasant Ave. South, in the city of Minneapolis, state of MN, with the zip code 55403.

What is Jennifer Lynn Vought's area of expertise and its corresponding taxonomy classification?

The Jennifer Lynn Vought's field of specialization is Addiction (substance Use Disorder), and it falls under the taxonomy code 101Ya0400X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services assign the 1265619225 to Jennifer Lynn Vought?

The Centers for Medicare & Medicaid Services assigned the 1265619225 to Jennifer Lynn Vought on 2008-01-22.

As of what date were the details pertaining to Jennifer Lynn Vought last refreshed?

The information related to the Jennifer Lynn Vought, including its address, specialty, and other relevant details, was last updated on 2008-01-22.

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