Nathaniel Dash in Mangum - Addiction (substance Use Disorder)
Nathaniel Dash - NPI 1619094851
Nathaniel Dash is a Addiction (substance Use Disorder) in Mangum, Oklahoma. Nathaniel Dash practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Nathaniel Dash is 1619094851. The last update date is 2007-07-08.
Nathaniel Dash's current location address is 2 Wickersham St, Mangum, Oklahoma. You can contact this provider via phone number 5807823337 and fax number 5807823338. The mailing address for Nathaniel Dash is 2 Wickersham St, Mangum, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nathaniel Dash |
|---|---|
| Address | 2 Wickersham St, Mangum, Oklahoma |
| Phone Number | 5807823337 |
| Fax Number | 5807823338 |
| Sole Proprietor | N |
| Credentials | CADC |
NPI Number Detail
| NPI Number | 1619094851 |
|---|---|
| Provider Enumeration Date | 2007-03-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2 Wickersham St |
|---|---|
| City | Mangum |
| State | Oklahoma (OK) |
| Post Code | 735549117 |
| Phone Number | 5807823337 |
| Fax Number | 5807823338 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 145 |
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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 Nathaniel Dash's 1619094851?
The Nathaniel Dash's NPI (National Provider Identifier) Number is 1619094851. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Nathaniel Dash's physical address?
The Nathaniel Dash is physically located at 2 Wickersham St, in the city of Mangum, OK, with the postal code 735549117.
What is the Nathaniel Dash's specialty and taxonomy code?
The Nathaniel Dash's specialty is Addiction (substance Use Disorder), and the corresponding taxonomy code is 101Ya0400X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1619094851 to Nathaniel Dash?
The Centers for Medicare & Medicaid Services originally issued the 1619094851 to Nathaniel Dash on 2007-03-23.
When was the Nathaniel Dash's information last updated?
The Nathaniel Dash's information was last updated on 2007-07-08.