Sue Jean Davis in Galveston - Addiction (substance Use Disorder)
Sue Jean Davis - NPI 1922147370
Sue Jean Davis is a Addiction (substance Use Disorder) in Galveston, Texas. Sue Jean Davis practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Sue Jean Davis is 1922147370. The last update date is 2007-07-08.
Sue Jean Davis's current location address is 123 25th St, Galveston, Texas. You can contact this provider via phone number 4097632373. The mailing address for Sue Jean Davis is 123 25th St, Galveston, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sue Jean Davis |
|---|---|
| Address | 123 25th St, Galveston, Texas |
| Phone Number | 4097632373 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCDC,LBSW |
NPI Number Detail
| NPI Number | 1922147370 |
|---|---|
| Provider Enumeration Date | 2007-02-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 123 25th St |
|---|---|
| City | Galveston |
| State | Texas (TX) |
| Post Code | 7755014940 |
| Phone Number | 4097632373 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 2931 |
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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 |
|---|---|---|---|
| 8533BH | TX | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Sue Jean Davis by the Centers for Medicare & Medicaid Services?
The Sue Jean Davis has been assigned the NPI (National Provider Identifier) 1922147370 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Sue Jean Davis's physical address?
The Sue Jean Davis is physically located at 123 25Th St, in the city of Galveston, TX, with the postal code 7755014940.
What is Sue Jean Davis's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Sue Jean Davis is Addiction (substance Use Disorder), and the taxonomy classification code that categorizes this area of expertise is 101Ya0400X.
On what date did the Centers for Medicare & Medicaid Services assign the 1922147370 to Sue Jean Davis?
The Centers for Medicare & Medicaid Services assigned the 1922147370 to Sue Jean Davis on 2007-02-05.
As of what date were the details related to Sue Jean Davis most recently updated or revised?
The information pertaining to Sue Jean Davis, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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