Debra Marie Heddlesten in Watonga - Addiction (substance Use Disorder)
Debra Marie Heddlesten - NPI 1942211677
Debra Marie Heddlesten is a Addiction (substance Use Disorder) in Watonga, Oklahoma. Debra Marie Heddlesten practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Debra Marie Heddlesten is 1942211677. The last update date is 2010-06-25.
Debra Marie Heddlesten's current location address is 120 W 1st St, Watonga, Oklahoma. You can contact this provider via phone number 5806232548 and fax number 5806232668. The mailing address for Debra Marie Heddlesten is 120 W 1st St, Watonga, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Debra Marie Heddlesten |
|---|---|
| Address | 120 W 1st St, Watonga, Oklahoma |
| Phone Number | 5806232548 |
| Fax Number | 5806232668 |
| Sole Proprietor | N |
| Credentials | M.ED, LADC |
NPI Number Detail
| NPI Number | 1942211677 |
|---|---|
| Provider Enumeration Date | 2006-08-10 |
| Last Updated Date | 2010-06-25 |
Provider Mailing Address Detail
| Address | 120 W 1st St |
|---|---|
| City | Watonga |
| State | Oklahoma (OK) |
| Post Code | 737723643 |
| Phone Number | 5806232548 |
| Fax Number | 5806232668 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 566 |
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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 |
|---|---|---|---|
| 3DMH58 | OK | ICIS ID |
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What is the Debra Marie Heddlesten's unique identification number?
The Debra Marie Heddlesten has been assigned the NPI (National Provider Identifier) Number 1942211677 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Debra Marie Heddlesten located?
The Debra Marie Heddlesten is located at 120 W 1St St, Watonga, OK 737723643.
What is the Debra Marie Heddlesten's specialty and taxonomy code?
The Debra Marie Heddlesten's specialty is Addiction (substance Use Disorder), and the corresponding taxonomy code is 101Ya0400X.
On what date was the 1942211677 assigned to Debra Marie Heddlesten?
The Debra Marie Heddlesten was issued its 1942211677 on 2006-08-10, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Debra Marie Heddlesten's details last updated?
The information pertaining to the Debra Marie Heddlesten, including its address, specialty, and other details, was most recently updated on 2010-06-25.
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