Jewelya M Ianniciello in Tacoma - Addiction (substance Use Disorder)

Jewelya M Ianniciello - NPI 1891984498

Jewelya M Ianniciello is a Addiction (substance Use Disorder) in Tacoma, Washington. Jewelya M Ianniciello practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Jewelya M Ianniciello is 1891984498. The last update date is 2008-02-08.

Jewelya M Ianniciello's current location address is 3402 55th Ave Ne, Tacoma, Washington. You can contact this provider via phone number 2064061178. The mailing address for Jewelya M Ianniciello is 3402 55th Ave Ne, Tacoma, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Jewelya M Ianniciello
Address 3402 55th Ave Ne, Tacoma, Washington
Phone Number 2064061178
Fax Number
Sole Proprietor Y
Credentials MSW, CDP

NPI Number Detail

NPI Number 1891984498
Provider Enumeration Date 2007-10-18
Last Updated Date 2008-02-08

Provider Mailing Address Detail

Address 3402 55th Ave Ne
City Tacoma
State Washington (WA)
Post Code 984223156
Phone Number 2064061178
Fax Number

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No CP00005115
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

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FAQs about Jewelya M Ianniciello

What is the unique 10-digit identifier code issued to Jewelya M Ianniciello by the Centers for Medicare & Medicaid Services?

The Jewelya M Ianniciello has been assigned the NPI (National Provider Identifier) 1891984498 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Jewelya M Ianniciello?

The Jewelya M Ianniciello is physically situated at 3402 55Th Ave Ne, in the city of Tacoma, state of WA, with the postal code 984223156.

What is the area of specialization for Jewelya M Ianniciello, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Jewelya M Ianniciello is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this area of expertise is 101Ya0400X.

On what date was the 1891984498 assigned to Jewelya M Ianniciello?

The Jewelya M Ianniciello was issued its 1891984498 on 2007-10-18, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Jewelya M Ianniciello, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Jewelya M Ianniciello, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-02-08.

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