Jeffrey Scott Allen in Medina - Addiction (substance Use Disorder)
Jeffrey Scott Allen - NPI 1396822052
Jeffrey Scott Allen is a Addiction (substance Use Disorder) in Medina, Ohio. Jeffrey Scott Allen practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Jeffrey Scott Allen is 1396822052. The last update date is 2020-03-03.
Jeffrey Scott Allen's current location address is 246 Northland Dr, Medina, Ohio. You can contact this provider via phone number 3307259195 and fax number 3307259187. The mailing address for Jeffrey Scott Allen is 246 Northland Dr, Medina, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey Scott Allen |
|---|---|
| Address | 246 Northland Dr, Medina, Ohio |
| Phone Number | 3307259195 |
| Fax Number | 3307259187 |
| Sole Proprietor | N |
| Credentials | LISW-S, LI |
NPI Number Detail
| NPI Number | 1396822052 |
|---|---|
| Provider Enumeration Date | 2006-11-01 |
| Last Updated Date | 2020-03-03 |
Provider Mailing Address Detail
| Address | 246 Northland Dr |
|---|---|
| City | Medina |
| State | Ohio (OH) |
| Post Code | 442563441 |
| Phone Number | 3307259195 |
| Fax Number | 3307259187 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | LICDC.976101 |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 161130 | OH | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jeffrey Scott Allen by the Centers for Medicare & Medicaid Services?
The Jeffrey Scott Allen has been issued the NPI (National Provider Identifier) 1396822052 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Jeffrey Scott Allen located?
The Jeffrey Scott Allen is located at 246 Northland Dr, Medina, OH 442563441.
What is the Jeffrey Scott Allen's specialty and taxonomy code?
The Jeffrey Scott Allen's specialty is Addiction (substance Use Disorder), and the corresponding taxonomy code is 101Ya0400X.
When was the Jeffrey Scott Allen's 1396822052 issued?
The Jeffrey Scott Allen's 1396822052 was issued on 2006-11-01.
As of what date were the details related to Jeffrey Scott Allen most recently updated or revised?
The information pertaining to Jeffrey Scott Allen, including its address, specialty, and other relevant details, was last updated or revised on 2020-03-03.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY