Jackie A Sherrod in Cleburne - Addiction (substance Use Disorder)

Jackie A Sherrod - NPI 1689844474

Jackie A Sherrod is a Addiction (substance Use Disorder) in Cleburne, Texas. Jackie A Sherrod practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Jackie A Sherrod is 1689844474. The last update date is 2008-03-07.

Jackie A Sherrod's current location address is 118 W Heard St, Cleburne, Texas. You can contact this provider via phone number 8176455517 and fax number 8176455715. The mailing address for Jackie A Sherrod is 118 W Heard St, Cleburne, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Jackie A Sherrod
Address 118 W Heard St, Cleburne, Texas
Phone Number 8176455517
Fax Number 8176455715
Sole Proprietor Y
Credentials LCDC

NPI Number Detail

NPI Number 1689844474
Provider Enumeration Date 2008-03-07
Last Updated Date 2008-03-07

Provider Mailing Address Detail

Address 118 W Heard St
City Cleburne
State Texas (TX)
Post Code 760333836
Phone Number 8176455517
Fax Number 8176455715

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No 1797
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

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FAQs about Jackie A Sherrod

What is the Jackie A Sherrod's unique identification number?

The Jackie A Sherrod has been assigned the NPI (National Provider Identifier) Number 1689844474 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Where is the Jackie A Sherrod located?

The Jackie A Sherrod is located at 118 W Heard St, Cleburne, TX 760333836.

What is Jackie A Sherrod's specialized field of practice, and what is the corresponding taxonomy classification code?

The Jackie A Sherrod'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 the Centers for Medicare & Medicaid Services originally issue the 1689844474 to Jackie A Sherrod?

The Centers for Medicare & Medicaid Services originally issued the 1689844474 to Jackie A Sherrod on 2008-03-07.

As of what date were the details pertaining to Jackie A Sherrod last refreshed?

The information related to the Jackie A Sherrod, including its address, specialty, and other relevant details, was last updated on 2008-03-07.

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