Brenna Rae Blomquist in Eau Claire - Addiction (substance Use Disorder)
Brenna Rae Blomquist - NPI 1477614469
Brenna Rae Blomquist is a Addiction (substance Use Disorder) in Eau Claire, Wisconsin. Brenna Rae Blomquist practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Brenna Rae Blomquist is 1477614469. The last update date is 2007-07-08.
Brenna Rae Blomquist's current location address is 3136 Craig Rd, Eau Claire, Wisconsin. You can contact this provider via phone number 7158359110 and fax number 7158304098. The mailing address for Brenna Rae Blomquist is 3136 Craig Rd, Eau Claire, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brenna Rae Blomquist |
|---|---|
| Address | 3136 Craig Rd, Eau Claire, Wisconsin |
| Phone Number | 7158359110 |
| Fax Number | 7158304098 |
| Sole Proprietor | N |
| Credentials | CADC III |
NPI Number Detail
| NPI Number | 1477614469 |
|---|---|
| Provider Enumeration Date | 2006-12-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3136 Craig Rd |
|---|---|
| City | Eau Claire |
| State | Wisconsin (WI) |
| Post Code | 547016109 |
| Phone Number | 7158359110 |
| Fax Number | 7158304098 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 13480 |
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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 |
|---|---|---|---|
| 13480 | WI | CADC III |
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What is the Brenna Rae Blomquist's 1477614469?
The Brenna Rae Blomquist's NPI (National Provider Identifier) Number is 1477614469. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Brenna Rae Blomquist located?
The Brenna Rae Blomquist is located at 3136 Craig Rd, Eau Claire, WI 547016109.
What is Brenna Rae Blomquist's area of expertise and its corresponding taxonomy classification?
The Brenna Rae Blomquist's field of specialization is Addiction (substance Use Disorder), and it falls under the taxonomy code 101Ya0400X, which categorizes healthcare providers based on their areas of practice.
When did Brenna Rae Blomquist receive its 1477614469 assignment?
The Brenna Rae Blomquist was assigned its 1477614469 on 2006-12-13, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Brenna Rae Blomquist most recently updated or revised?
The information pertaining to Brenna Rae Blomquist, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY