Linda M. Tiso in Kenosha - Addiction (substance Use Disorder)
Linda M. Tiso - NPI 1013937341
Linda M. Tiso is a Addiction (substance Use Disorder) in Kenosha, Wisconsin. Linda M. Tiso practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Linda M. Tiso is 1013937341. The last update date is 2008-05-26.
Linda M. Tiso's current location address is 3535 30th Ave, Kenosha, Wisconsin. You can contact this provider via phone number 2628420500 and fax number 2628420502. The mailing address for Linda M. Tiso is 3535 30th Ave, Kenosha, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Linda M. Tiso |
|---|---|
| Address | 3535 30th Ave, Kenosha, Wisconsin |
| Phone Number | 2628420500 |
| Fax Number | 2628420502 |
| Sole Proprietor | N |
| Credentials | MSW, LCSW, |
NPI Number Detail
| NPI Number | 1013937341 |
|---|---|
| Provider Enumeration Date | 2006-07-20 |
| Last Updated Date | 2008-05-26 |
Provider Mailing Address Detail
| Address | 3535 30th Ave |
|---|---|
| City | Kenosha |
| State | Wisconsin (WI) |
| Post Code | 531441632 |
| Phone Number | 2628420500 |
| Fax Number | 2628420502 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 12605-131 |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 40910600 | WI | -- | |
| 1084974 | WI | MEDICARE, ELKHORN PTAN |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Linda M. Tiso by the Centers for Medicare & Medicaid Services?
The Linda M. Tiso has been issued the NPI (National Provider Identifier) 1013937341 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Linda M. Tiso's facilities are situated?
The facilities of Linda M. Tiso are physically located at the following address: 3535 30Th Ave, Kenosha, WI, 531441632.
What is Linda M. Tiso's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Linda M. Tiso is Addiction (substance Use Disorder), and the corresponding taxonomy classification code for this specialized field is 101Ya0400X.
When was the Linda M. Tiso's 1013937341 issued?
The Linda M. Tiso's 1013937341 was issued on 2006-07-20.
As of what date were the details related to Linda M. Tiso most recently updated or revised?
The information pertaining to Linda M. Tiso, including its address, specialty, and other relevant details, was last updated or revised on 2008-05-26.