Jean Mary Soppe in Lavista - Addiction (substance Use Disorder)
Jean Mary Soppe - NPI 1720018955
Jean Mary Soppe is a Addiction (substance Use Disorder) in Lavista, Nebraska. Jean Mary Soppe practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Jean Mary Soppe is 1720018955. The last update date is 2007-07-08.
Jean Mary Soppe's current location address is 8713 Bayberry Rd, Lavista, Nebraska. You can contact this provider via phone number 4023468800 and fax number 4024490677. The mailing address for Jean Mary Soppe is 8713 Bayberry Rd, Lavista, Nebraska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jean Mary Soppe |
|---|---|
| Address | 8713 Bayberry Rd, Lavista, Nebraska |
| Phone Number | 4023468800 |
| Fax Number | 4024490677 |
| Sole Proprietor | Y |
| Credentials | LCSW, LADC |
NPI Number Detail
| NPI Number | 1720018955 |
|---|---|
| Provider Enumeration Date | 2006-07-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 8713 Bayberry Rd |
|---|---|
| City | Lavista |
| State | Nebraska (NE) |
| Post Code | 681282857 |
| Phone Number | 4023468800 |
| Fax Number | 4024490677 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 426 |
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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 assigned to Jean Mary Soppe by the Centers for Medicare & Medicaid Services?
The Jean Mary Soppe has been issued the NPI (National Provider Identifier) 1720018955 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Jean Mary Soppe located?
The Jean Mary Soppe is located at 8713 Bayberry Rd, Lavista, NE 681282857.
What is the Jean Mary Soppe's area of specialization and corresponding taxonomy classification?
The Jean Mary Soppe'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 Jean Mary Soppe receive its 1720018955 assignment from the Centers for Medicare & Medicaid Services?
The Jean Mary Soppe was assigned its 1720018955 by the Centers for Medicare & Medicaid Services on 2006-07-04.
When was the Jean Mary Soppe's information last updated?
The Jean Mary Soppe's information was last updated on 2007-07-08.
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