Sallie D Vallereux in Statesville - Addiction (substance Use Disorder)

Sallie D Vallereux - NPI 1932286994

Sallie D Vallereux is a Addiction (substance Use Disorder) in Statesville, North Carolina. Sallie D Vallereux practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Sallie D Vallereux is 1932286994. The last update date is 2007-07-08.

Sallie D Vallereux's current location address is 515 Brookdale Dr, Statesville, North Carolina. You can contact this provider via phone number 7048731697 and fax number 7048731697. The mailing address for Sallie D Vallereux is 515 Brookdale Dr, Statesville, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Sallie D Vallereux
Address 515 Brookdale Dr, Statesville, North Carolina
Phone Number 7048731697
Fax Number 7048731697
Sole Proprietor N
Credentials LPC, LCAS

NPI Number Detail

NPI Number 1932286994
Provider Enumeration Date 2006-11-01
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 515 Brookdale Dr
City Statesville
State North Carolina (NC)
Post Code 286774107
Phone Number 7048731697
Fax Number 7048731697

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No 473
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
10324 NC BCBS

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FAQs about Sallie D Vallereux

What is the unique 10-digit identifier code issued to Sallie D Vallereux by the Centers for Medicare & Medicaid Services?

The Sallie D Vallereux has been assigned the NPI (National Provider Identifier) 1932286994 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Sallie D Vallereux is physically located?

The Sallie D Vallereux is physically situated at the following address: 515 Brookdale Dr, Statesville, NC, 286774107.

What is Sallie D Vallereux's specialized field of practice, and what is the corresponding taxonomy classification code?

The Sallie D Vallereux's area of specialization is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this field of practice is 101Ya0400X.

On what date did the Sallie D Vallereux receive the assignment of its 1932286994 from the Centers for Medicare & Medicaid Services?

The Sallie D Vallereux was issued its 1932286994 by the Centers for Medicare & Medicaid Services on 2006-11-01.

As of what date were the details related to Sallie D Vallereux most recently updated or revised?

The information pertaining to Sallie D Vallereux, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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