Victor Jones Russell in Jacksonville - Addiction (substance Use Disorder)

Victor Jones Russell - NPI 1164563417

Victor Jones Russell is a Addiction (substance Use Disorder) in Jacksonville, North Carolina. Victor Jones Russell practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Victor Jones Russell is 1164563417. The last update date is 2007-07-08.

Victor Jones Russell's current location address is 230 Spring Dr, Jacksonville, North Carolina. You can contact this provider via phone number 9102855527 and fax number 9102855526. The mailing address for Victor Jones Russell is 230 Spring Dr, Jacksonville, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Victor Jones Russell
Address 230 Spring Dr, Jacksonville, North Carolina
Phone Number 9102855527
Fax Number 9102855526
Sole Proprietor N
Credentials LCAS, CSAC

NPI Number Detail

NPI Number 1164563417
Provider Enumeration Date 2007-02-09
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 230 Spring Dr
City Jacksonville
State North Carolina (NC)
Post Code 285409161
Phone Number 9102855527
Fax Number 9102855526

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No 558
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

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FAQs about Victor Jones Russell

What is the unique 10-digit identifier code assigned to Victor Jones Russell by the Centers for Medicare & Medicaid Services?

The Victor Jones Russell has been issued the NPI (National Provider Identifier) 1164563417 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Can you provide the Victor Jones Russell's physical address?

The Victor Jones Russell is physically located at 230 Spring Dr, in the city of Jacksonville, NC, with the postal code 285409161.

What is the area of specialization for Victor Jones Russell, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Victor Jones Russell is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this area of expertise is 101Ya0400X.

On what date did Victor Jones Russell receive its 1164563417 assignment from the Centers for Medicare & Medicaid Services?

The Victor Jones Russell was assigned its 1164563417 on 2007-02-09, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the Victor Jones Russell's information last updated?

The Victor Jones Russell's information was last updated on 2007-07-08.

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