Sandra J. Malone in Kenosha - Addiction (substance Use Disorder)
Sandra J. Malone - NPI 1265642714
Sandra J. Malone is a Addiction (substance Use Disorder) in Kenosha, Wisconsin. Sandra J. Malone practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Sandra J. Malone is 1265642714. The last update date is 2008-06-30.
Sandra J. Malone's current location address is 6233 39th Ave, Kenosha, Wisconsin. You can contact this provider via phone number 2626541004 and fax number 2626546960. The mailing address for Sandra J. Malone is 6233 39th Ave, Kenosha, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sandra J. Malone |
|---|---|
| Address | 6233 39th Ave, Kenosha, Wisconsin |
| Phone Number | 2626541004 |
| Fax Number | 2626546960 |
| Sole Proprietor | N |
| Credentials | CSAC |
NPI Number Detail
| NPI Number | 1265642714 |
|---|---|
| Provider Enumeration Date | 2007-05-23 |
| Last Updated Date | 2008-06-30 |
Provider Mailing Address Detail
| Address | 6233 39th Ave |
|---|---|
| City | Kenosha |
| State | Wisconsin (WI) |
| Post Code | 531427015 |
| Phone Number | 2626541004 |
| Fax Number | 2626546960 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 10893-132 |
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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 |
|---|---|---|---|
| 39390900 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Sandra J. Malone by the Centers for Medicare & Medicaid Services?
The Sandra J. Malone has been assigned the NPI (National Provider Identifier) 1265642714 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Sandra J. Malone is located?
The Sandra J. Malone is situated at the following address: 6233 39Th Ave, Kenosha, WI, 531427015.
What is Sandra J. Malone's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Sandra J. Malone's specialized field of practice is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this area of specialization is 101Ya0400X.
When did Sandra J. Malone receive its 1265642714 assignment?
The Sandra J. Malone was assigned its 1265642714 on 2007-05-23, which is the date when this unique identifier was issued to the organization.
As of what date were the Sandra J. Malone's details last updated?
The information pertaining to the Sandra J. Malone, including its address, specialty, and other details, was most recently updated on 2008-06-30.