Kathleen South in Fredericksburg - Addiction (substance Use Disorder)
Kathleen South - NPI 1225259021
Kathleen South is a Addiction (substance Use Disorder) in Fredericksburg, Virginia. Kathleen South practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Kathleen South is 1225259021. The last update date is 2015-10-08.
Kathleen South's current location address is 11720 Main St Ste 108, Fredericksburg, Virginia. You can contact this provider via phone number 5407359350 and fax number 5407359356. The mailing address for Kathleen South is 11720 Main St Ste 108, Fredericksburg, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kathleen South |
|---|---|
| Address | 11720 Main St Ste 108, Fredericksburg, Virginia |
| Phone Number | 5407359350 |
| Fax Number | 5407359356 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1225259021 |
|---|---|
| Provider Enumeration Date | 2007-05-01 |
| Last Updated Date | 2015-10-08 |
Provider Mailing Address Detail
| Address | 11720 Main St Ste 108 |
|---|---|
| City | Fredericksburg |
| State | Virginia (VA) |
| Post Code | 224087329 |
| Phone Number | 5407359350 |
| Fax Number | 5407359356 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | ISW3052 |
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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 Kathleen South?
The Kathleen South has been issued the NPI (National Provider Identifier) 1225259021 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Kathleen South?
The Kathleen South is situated at 11720 Main St Ste 108, in the city of Fredericksburg, state of VA, with the zip code 224087329.
What is Kathleen South's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Kathleen South is Addiction (substance Use Disorder), and the corresponding taxonomy classification code for this specialized field is 101Ya0400X.
On what date was the 1225259021 assigned to Kathleen South?
The Kathleen South was issued its 1225259021 on 2007-05-01, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Kathleen South most recently updated or revised?
The information pertaining to Kathleen South, including its address, specialty, and other relevant details, was last updated or revised on 2015-10-08.