Kelly Marie Gaughan in Tunkhannock - Addiction (substance Use Disorder)
Kelly Marie Gaughan - NPI 1265496632
Kelly Marie Gaughan is a Addiction (substance Use Disorder) in Tunkhannock, Pennsylvania. Kelly Marie Gaughan practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Kelly Marie Gaughan is 1265496632. The last update date is 2007-07-08.
Kelly Marie Gaughan's current location address is 102 Warren St, Tunkhannock, Pennsylvania. You can contact this provider via phone number 5708361101 and fax number 5708363765. The mailing address for Kelly Marie Gaughan is 102 Warren St, Tunkhannock, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly Marie Gaughan |
|---|---|
| Address | 102 Warren St, Tunkhannock, Pennsylvania |
| Phone Number | 5708361101 |
| Fax Number | 5708363765 |
| Sole Proprietor | X |
| Credentials | BS |
NPI Number Detail
| NPI Number | 1265496632 |
|---|---|
| Provider Enumeration Date | 2006-04-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 102 Warren St |
|---|---|
| City | Tunkhannock |
| State | Pennsylvania (PA) |
| Post Code | 18657 |
| Phone Number | 5708361101 |
| Fax Number | 5708363765 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Kelly Marie Gaughan by the Centers for Medicare & Medicaid Services?
The Kelly Marie Gaughan has been issued the NPI (National Provider Identifier) 1265496632, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Kelly Marie Gaughan located?
The Kelly Marie Gaughan is located at 102 Warren St, Tunkhannock, PA 18657.
What is Kelly Marie Gaughan's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Kelly Marie Gaughan is Addiction (substance Use Disorder), and the taxonomy code that classifies this field of practice is 101Ya0400X.
On what date did the Kelly Marie Gaughan receive the assignment of its 1265496632 from the Centers for Medicare & Medicaid Services?
The Kelly Marie Gaughan was issued its 1265496632 by the Centers for Medicare & Medicaid Services on 2006-04-13.
As of what date was the information regarding Kelly Marie Gaughan, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kelly Marie Gaughan, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
NPI Number: 1063415297
Address: 510 Spring St, Jeffersonville, IN