Jvonne L Ellingson in Watertown - Addiction (substance Use Disorder)
Jvonne L Ellingson - NPI 1780789370
Jvonne L Ellingson is a Addiction (substance Use Disorder) in Watertown, South Dakota. Jvonne L Ellingson practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Jvonne L Ellingson is 1780789370. The last update date is 2007-07-08.
Jvonne L Ellingson's current location address is Po Box 1030, Watertown, South Dakota. You can contact this provider via phone number 6058860123 and fax number 6058865447. The mailing address for Jvonne L Ellingson is Po Box 1030, Watertown, South Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jvonne L Ellingson |
|---|---|
| Address | Po Box 1030, Watertown, South Dakota |
| Phone Number | 6058860123 |
| Fax Number | 6058865447 |
| Sole Proprietor | N |
| Credentials | CCDCT |
NPI Number Detail
| NPI Number | 1780789370 |
|---|---|
| Provider Enumeration Date | 2006-09-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 1030 |
|---|---|
| City | Watertown |
| State | South Dakota (SD) |
| Post Code | 57201 |
| Phone Number | 6058860123 |
| Fax Number | 6058865447 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 4293 |
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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 |
|---|---|---|---|
| 5001040 | SD | -- |
Post Comment/ Review Below
What is the Jvonne L Ellingson's unique identification number?
The Jvonne L Ellingson has been assigned the NPI (National Provider Identifier) Number 1780789370 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Jvonne L Ellingson is located?
The Jvonne L Ellingson is situated at the following address: Po Box 1030, Watertown, SD, 57201.
What is the Jvonne L Ellingson's area of specialization and corresponding taxonomy classification?
The Jvonne L Ellingson's specialty field is Addiction (substance Use Disorder), and it falls under the taxonomy code 101Ya0400X, which categorizes healthcare providers based on their specialties.
When did the Jvonne L Ellingson receive its 1780789370?
The Jvonne L Ellingson was issued its 1780789370 on 2006-09-14, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Jvonne L Ellingson last refreshed?
The information related to the Jvonne L Ellingson, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
NPI Number: 1073517686
Address: 2100 Martin Luther King Jr Blvd, Clovis, NM