Hazel Corley King in Jackson - Addiction (substance Use Disorder)

Hazel Corley King - NPI 1851490353

Hazel Corley King is a Addiction (substance Use Disorder) in Jackson, Mississippi. Hazel Corley King practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Hazel Corley King is 1851490353. The last update date is 2007-07-08.

Hazel Corley King's current location address is 807 Rutherford Dr, Jackson, Mississippi. You can contact this provider via phone number 6013624471. The mailing address for Hazel Corley King is 807 Rutherford Dr, Jackson, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Name Hazel Corley King
Address 807 Rutherford Dr, Jackson, Mississippi
Phone Number 6013624471
Fax Number
Sole Proprietor Y
Credentials MSW

NPI Number Detail

NPI Number 1851490353
Provider Enumeration Date 2006-09-21
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 807 Rutherford Dr
City Jackson
State Mississippi (MS)
Post Code 392062139
Phone Number 6013624471
Fax Number

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No CO421
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

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FAQs about Hazel Corley King

What is the unique identifier code issued to Hazel Corley King by the Centers for Medicare & Medicaid Services (CMS)?

The Hazel Corley King has been assigned the NPI (National Provider Identifier) 1851490353. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete address where Hazel Corley King is physically located?

The Hazel Corley King is situated at the following address: 807 Rutherford Dr, Jackson, MS 392062139.

What is Hazel Corley King's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Hazel Corley King 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 assign the 1851490353 to Hazel Corley King?

The Centers for Medicare & Medicaid Services assigned the 1851490353 to Hazel Corley King on 2006-09-21.

When was the Hazel Corley King's information last updated?

The Hazel Corley King's information was last updated on 2007-07-08.

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