Jolene R Stalker in Grand Island - Addiction (substance Use Disorder)

Jolene R Stalker - NPI 1376688861

Jolene R Stalker is a Addiction (substance Use Disorder) in Grand Island, Nebraska. Jolene R Stalker practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Jolene R Stalker is 1376688861. The last update date is 2007-07-08.

Jolene R Stalker's current location address is 2116 W Faidley Ave, Grand Island, Nebraska. You can contact this provider via phone number 3083985427. The mailing address for Jolene R Stalker is 2116 W Faidley Ave, Grand Island, Nebraska. To know further, please read the information below!

Provider Profile Detail

Provider Name Jolene R Stalker
Address 2116 W Faidley Ave, Grand Island, Nebraska
Phone Number 3083985427
Fax Number
Sole Proprietor N
Credentials L.M.H.P.,

NPI Number Detail

NPI Number 1376688861
Provider Enumeration Date 2007-02-21
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2116 W Faidley Ave
City Grand Island
State Nebraska (NE)
Post Code 688034645
Phone Number 3083985427
Fax Number

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No LADC-037
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
LMHP-2862 NE LICENSE MH PRACTITIONER

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FAQs about Jolene R Stalker

What is the Jolene R Stalker's 1376688861?

The Jolene R Stalker's NPI (National Provider Identifier) Number is 1376688861. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Jolene R Stalker is geographically located?

The Jolene R Stalker is physically situated at the following location: 2116 W Faidley Ave, Grand Island, NE, 688034645.

What is Jolene R Stalker's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Jolene R Stalker's specialized field of practice is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this area of specialization is 101Ya0400X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1376688861 to Jolene R Stalker?

The Centers for Medicare & Medicaid Services originally issued the 1376688861 to Jolene R Stalker on 2007-02-21.

When was the information related to Jolene R Stalker most recently updated or refreshed?

The details pertaining to the Jolene R Stalker, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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