Jill Roberts in Wyandotte - Addiction (substance Use Disorder)

Jill Roberts - NPI 1114122041

Jill Roberts is a Addiction (substance Use Disorder) in Wyandotte, Oklahoma. Jill Roberts practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Jill Roberts is 1114122041. The last update date is 2009-06-30.

Jill Roberts's current location address is 69999 E 152 Rd, Wyandotte, Oklahoma. You can contact this provider via phone number 9185415962. The mailing address for Jill Roberts is 69999 E 152 Rd, Wyandotte, Oklahoma. To know further, please read the information below!

Provider Profile Detail

Provider Name Jill Roberts
Address 69999 E 152 Rd, Wyandotte, Oklahoma
Phone Number 9185415962
Fax Number
Sole Proprietor N
Credentials BS, CADC

NPI Number Detail

NPI Number 1114122041
Provider Enumeration Date 2007-06-20
Last Updated Date 2009-06-30

Provider Mailing Address Detail

Address 69999 E 152 Rd
City Wyandotte
State Oklahoma (OK)
Post Code 743702224
Phone Number 9185415962
Fax Number

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No 321
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

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FAQs about Jill Roberts

What is the unique 10-digit identification code assigned to Jill Roberts by the Centers for Medicare & Medicaid Services?

The Jill Roberts has been issued the NPI (National Provider Identifier) 1114122041, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Where is the Jill Roberts located?

The Jill Roberts is located at 69999 E 152 Rd, Wyandotte, OK 743702224.

What is Jill Roberts's area of expertise and its corresponding taxonomy classification?

The Jill Roberts's field of specialization is Addiction (substance Use Disorder), and it falls under the taxonomy code 101Ya0400X, which categorizes healthcare providers based on their areas of practice.

On what date did the Jill Roberts receive the assignment of its 1114122041 from the Centers for Medicare & Medicaid Services?

The Jill Roberts was issued its 1114122041 by the Centers for Medicare & Medicaid Services on 2007-06-20.

When was the information regarding Jill Roberts most recently updated?

The details pertaining to the Jill Roberts, including its address, specialty, and other relevant information, were last refreshed on 2009-06-30.

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