Roland Raoul Parent in Logan - Addiction (substance Use Disorder)
Roland Raoul Parent - NPI 1710193966
Roland Raoul Parent is a Addiction (substance Use Disorder) in Logan, Utah. Roland Raoul Parent practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Roland Raoul Parent is 1710193966. The last update date is 2007-07-08.
Roland Raoul Parent's current location address is 655 E 1300 N, Logan, Utah. You can contact this provider via phone number 4357926500 and fax number 4357926600. The mailing address for Roland Raoul Parent is 655 E 1300 N, Logan, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Roland Raoul Parent |
|---|---|
| Address | 655 E 1300 N, Logan, Utah |
| Phone Number | 4357926500 |
| Fax Number | 4357926600 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1710193966 |
|---|---|
| Provider Enumeration Date | 2007-05-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 655 E 1300 N |
|---|---|
| City | Logan |
| State | Utah (UT) |
| Post Code | 84341 |
| Phone Number | 4357926500 |
| Fax Number | 4357926600 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 5180258-6006 |
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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 provider identifier assigned to Roland Raoul Parent?
The Roland Raoul Parent has been issued the NPI (National Provider Identifier) 1710193966 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Roland Raoul Parent's facilities are geographically located?
The facilities of Roland Raoul Parent are physically situated at the following location: 655 E 1300 N, Logan, UT, 84341.
What is Roland Raoul Parent's specialized field of practice, and what is the corresponding taxonomy classification code?
The Roland Raoul Parent'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 Roland Raoul Parent receive the assignment of its 1710193966 from the Centers for Medicare & Medicaid Services?
The Roland Raoul Parent was issued its 1710193966 by the Centers for Medicare & Medicaid Services on 2007-05-15.
As of what date were the details related to Roland Raoul Parent most recently updated or revised?
The information pertaining to Roland Raoul Parent, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.