Judith L Verage in La Crosse - Addiction (substance Use Disorder)

Judith L Verage - NPI 1114923612

Judith L Verage is a Addiction (substance Use Disorder) in La Crosse, Wisconsin. Judith L Verage practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Judith L Verage is 1114923612. The last update date is 2007-07-08.

Judith L Verage's current location address is 1836 South Ave, La Crosse, Wisconsin. You can contact this provider via phone number 6087827300. The mailing address for Judith L Verage is 1836 South Ave, La Crosse, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Judith L Verage
Address 1836 South Ave, La Crosse, Wisconsin
Phone Number 6087827300
Fax Number
Sole Proprietor N
Credentials CADC

NPI Number Detail

NPI Number 1114923612
Provider Enumeration Date 2005-06-21
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1836 South Ave
City La Crosse
State Wisconsin (WI)
Post Code 5460154290
Phone Number 6087827300
Fax Number

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No 11930
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
39781300 WI --

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FAQs about Judith L Verage

What is the Judith L Verage's 1114923612?

The Judith L Verage's NPI (National Provider Identifier) Number is 1114923612. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Judith L Verage's facilities are situated?

The facilities of Judith L Verage are physically located at the following address: 1836 South Ave, La Crosse, WI, 5460154290.

What is Judith L Verage's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Judith L Verage is Addiction (substance Use Disorder), and the taxonomy classification code that categorizes this area of expertise is 101Ya0400X.

On what date did the Judith L Verage receive the assignment of its 1114923612 from the Centers for Medicare & Medicaid Services?

The Judith L Verage was issued its 1114923612 by the Centers for Medicare & Medicaid Services on 2005-06-21.

When was the information related to Judith L Verage most recently updated or refreshed?

The details pertaining to the Judith L Verage, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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