Kristie Catalina Jacobson in Forks - Addiction (substance Use Disorder)
Kristie Catalina Jacobson - NPI 1861658544
Kristie Catalina Jacobson is a Addiction (substance Use Disorder) in Forks, Washington. Kristie Catalina Jacobson practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Kristie Catalina Jacobson is 1861658544. The last update date is 2008-08-01.
Kristie Catalina Jacobson's current location address is 530 Bogachiel Way, Forks, Washington. You can contact this provider via phone number 3603745011 and fax number 3603746691. The mailing address for Kristie Catalina Jacobson is 530 Bogachiel Way, Forks, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kristie Catalina Jacobson |
|---|---|
| Address | 530 Bogachiel Way, Forks, Washington |
| Phone Number | 3603745011 |
| Fax Number | 3603746691 |
| Sole Proprietor | N |
| Credentials | CDPT |
NPI Number Detail
| NPI Number | 1861658544 |
|---|---|
| Provider Enumeration Date | 2008-08-01 |
| Last Updated Date | 2008-08-01 |
Provider Mailing Address Detail
| Address | 530 Bogachiel Way |
|---|---|
| City | Forks |
| State | Washington (WA) |
| Post Code | 983319120 |
| Phone Number | 3603745011 |
| Fax Number | 3603746691 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | RC00059629 |
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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 10-digit identification code assigned to Kristie Catalina Jacobson by the Centers for Medicare & Medicaid Services?
The Kristie Catalina Jacobson has been issued the NPI (National Provider Identifier) 1861658544, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Kristie Catalina Jacobson?
The Kristie Catalina Jacobson is physically situated at 530 Bogachiel Way, in the city of Forks, state of WA, with the postal code 983319120.
What is the area of specialization for Kristie Catalina Jacobson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Kristie Catalina Jacobson is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this area of expertise is 101Ya0400X.
On what date did Kristie Catalina Jacobson receive its 1861658544 assignment from the Centers for Medicare & Medicaid Services?
The Kristie Catalina Jacobson was assigned its 1861658544 on 2008-08-01, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Kristie Catalina Jacobson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Kristie Catalina Jacobson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-08-01.