Shelley L Dejongh in Eau Claire - Addiction (substance Use Disorder)
Shelley L Dejongh - NPI 1639232655
Shelley L Dejongh is a Addiction (substance Use Disorder) in Eau Claire, Wisconsin. Shelley L Dejongh practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Shelley L Dejongh is 1639232655. The last update date is 2011-05-11.
Shelley L Dejongh's current location address is 2925 Mondovi Rd, Eau Claire, Wisconsin. You can contact this provider via phone number 7158320238 and fax number 7158320771. The mailing address for Shelley L Dejongh is 2925 Mondovi Rd, Eau Claire, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shelley L Dejongh |
|---|---|
| Address | 2925 Mondovi Rd, Eau Claire, Wisconsin |
| Phone Number | 7158320238 |
| Fax Number | 7158320771 |
| Sole Proprietor | N |
| Credentials | MS, LPC, C |
NPI Number Detail
| NPI Number | 1639232655 |
|---|---|
| Provider Enumeration Date | 2006-12-19 |
| Last Updated Date | 2011-05-11 |
Provider Mailing Address Detail
| Address | 2925 Mondovi Rd |
|---|---|
| City | Eau Claire |
| State | Wisconsin (WI) |
| Post Code | 547016141 |
| Phone Number | 7158320238 |
| Fax Number | 7158320771 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
|
Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 39170000 | WI | -- |
Post Comment/ Review Below
What is the Shelley L Dejongh's unique identification number?
The Shelley L Dejongh has been assigned the NPI (National Provider Identifier) Number 1639232655 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Shelley L Dejongh's facilities are geographically located?
The facilities of Shelley L Dejongh are physically situated at the following location: 2925 Mondovi Rd, Eau Claire, WI, 547016141.
What is Shelley L Dejongh's area of expertise and its corresponding taxonomy classification?
The Shelley L Dejongh'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 the Shelley L Dejongh receive its 1639232655?
The Shelley L Dejongh was issued its 1639232655 on 2006-12-19, which is the date when the organization was assigned this unique identifier.
As of what date were the Shelley L Dejongh's details last updated?
The information pertaining to the Shelley L Dejongh, including its address, specialty, and other details, was most recently updated on 2011-05-11.
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