Sally Fatjo in Lawton - Addiction (substance Use Disorder)

Sally Fatjo - NPI 1518086628

Sally Fatjo is a Addiction (substance Use Disorder) in Lawton, Oklahoma. Sally Fatjo practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Sally Fatjo is 1518086628. The last update date is 2018-03-12.

Sally Fatjo's current location address is 602 Sw 38th St, Lawton, Oklahoma. You can contact this provider via phone number 5802485780 and fax number 5803533202. The mailing address for Sally Fatjo is 602 Sw 38th St, Lawton, Oklahoma. To know further, please read the information below!

Provider Profile Detail

Provider Name Sally Fatjo
Address 602 Sw 38th St, Lawton, Oklahoma
Phone Number 5802485780
Fax Number 5803533202
Sole Proprietor N
Credentials LPC

NPI Number Detail

NPI Number 1518086628
Provider Enumeration Date 2007-03-28
Last Updated Date 2018-03-12

Provider Mailing Address Detail

Address 602 Sw 38th St
City Lawton
State Oklahoma (OK)
Post Code 735056912
Phone Number 5802485780
Fax Number 5803533202

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

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FAQs about Sally Fatjo

What is the unique identifier code issued to Sally Fatjo by the Centers for Medicare & Medicaid Services (CMS)?

The Sally Fatjo has been assigned the NPI (National Provider Identifier) 1518086628. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you kindly provide the complete physical address where Sally Fatjo's facilities are geographically located?

The facilities of Sally Fatjo are physically situated at the following location: 602 Sw 38Th St, Lawton, OK, 735056912.

What is Sally Fatjo's specialized field of practice, and what is the corresponding taxonomy classification code?

The Sally Fatjo'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 Sally Fatjo receive its 1518086628 assignment from the Centers for Medicare & Medicaid Services?

The Sally Fatjo was assigned its 1518086628 on 2007-03-28, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Sally Fatjo last refreshed?

The information related to the Sally Fatjo, including its address, specialty, and other relevant details, was last updated on 2018-03-12.

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