Patricia M. Kenote-Deperry in Bayfield - Addiction (substance Use Disorder)

Patricia M. Kenote-Deperry - NPI 1003906009

Patricia M. Kenote-Deperry is a Addiction (substance Use Disorder) in Bayfield, Wisconsin. Patricia M. Kenote-Deperry practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Patricia M. Kenote-Deperry is 1003906009. The last update date is 2007-07-08.

Patricia M. Kenote-Deperry's current location address is 37390 N Bradum Rd, Bayfield, Wisconsin. You can contact this provider via phone number 7157793741 and fax number 7157793765. The mailing address for Patricia M. Kenote-Deperry is 37390 N Bradum Rd, Bayfield, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Patricia M. Kenote-Deperry
Address 37390 N Bradum Rd, Bayfield, Wisconsin
Phone Number 7157793741
Fax Number 7157793765
Sole Proprietor N
Credentials --

NPI Number Detail

NPI Number 1003906009
Provider Enumeration Date 2006-10-13
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 37390 N Bradum Rd
City Bayfield
State Wisconsin (WI)
Post Code 548144832
Phone Number 7157793741
Fax Number 7157793765

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No 19738
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

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FAQs about Patricia M. Kenote-Deperry

What is the unique 10-digit identification code issued to Patricia M. Kenote-Deperry by the Centers for Medicare & Medicaid Services?

The Patricia M. Kenote-Deperry has been assigned the NPI (National Provider Identifier) 1003906009 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical location address where Patricia M. Kenote-Deperry's facilities are situated?

The facilities of Patricia M. Kenote-Deperry are physically located at the following address: 37390 N Bradum Rd, Bayfield, WI, 548144832.

What is Patricia M. Kenote-Deperry's specialized field of practice, and what is the corresponding taxonomy classification code?

The Patricia M. Kenote-Deperry's area of specialization is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this field of practice is 101Ya0400X.

When did Patricia M. Kenote-Deperry receive its 1003906009 assignment?

The Patricia M. Kenote-Deperry was assigned its 1003906009 on 2006-10-13, which is the date when this unique identifier was issued to the organization.

When was the Patricia M. Kenote-Deperry's information last updated?

The Patricia M. Kenote-Deperry's information was last updated on 2007-07-08.

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