Jackie Sue Truett in Poplar Bluff - Addiction (substance Use Disorder)
Jackie Sue Truett - NPI 1902987209
Jackie Sue Truett is a Addiction (substance Use Disorder) in Poplar Bluff, Missouri. Jackie Sue Truett practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Jackie Sue Truett is 1902987209. The last update date is 2007-07-08.
Jackie Sue Truett's current location address is 935 Montclair Dr, Poplar Bluff, Missouri. You can contact this provider via phone number 5737784799 and fax number 5737784566. The mailing address for Jackie Sue Truett is 935 Montclair Dr, Poplar Bluff, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jackie Sue Truett |
|---|---|
| Address | 935 Montclair Dr, Poplar Bluff, Missouri |
| Phone Number | 5737784799 |
| Fax Number | 5737784566 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1902987209 |
|---|---|
| Provider Enumeration Date | 2006-10-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 935 Montclair Dr |
|---|---|
| City | Poplar Bluff |
| State | Missouri (MO) |
| Post Code | 639012136 |
| Phone Number | 5737784799 |
| Fax Number | 5737784566 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Jackie Sue Truett by the Centers for Medicare & Medicaid Services?
The Jackie Sue Truett has been assigned the NPI (National Provider Identifier) 1902987209 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Jackie Sue Truett is physically located?
The Jackie Sue Truett is physically situated at the following address: 935 Montclair Dr, Poplar Bluff, MO, 639012136.
What is the Jackie Sue Truett's area of specialization and corresponding taxonomy classification?
The Jackie Sue Truett's specialty field is Addiction (substance Use Disorder), and it falls under the taxonomy code 101Ya0400X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1902987209 to Jackie Sue Truett?
The Jackie Sue Truett received its 1902987209 assignment from the Centers for Medicare & Medicaid Services on 2006-10-17.
When was the information pertaining to Jackie Sue Truett most recently updated or revised?
The details related to Jackie Sue Truett, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.