Pamela K Reynolds in Lacrosse - Addiction (substance Use Disorder)
Pamela K Reynolds - NPI 1720028640
Pamela K Reynolds is a Addiction (substance Use Disorder) in Lacrosse, Wisconsin. Pamela K Reynolds practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Pamela K Reynolds is 1720028640. The last update date is 2007-07-08.
Pamela K Reynolds's current location address is 1005 Jackson Street, Lacrosse, Wisconsin. You can contact this provider via phone number 6087916147 and fax number 6087919511. The mailing address for Pamela K Reynolds is 1005 Jackson Street, Lacrosse, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Pamela K Reynolds |
|---|---|
| Address | 1005 Jackson Street, Lacrosse, Wisconsin |
| Phone Number | 6087916147 |
| Fax Number | 6087919511 |
| Sole Proprietor | X |
| Credentials | CADC III C |
NPI Number Detail
| NPI Number | 1720028640 |
|---|---|
| Provider Enumeration Date | 2006-06-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1005 Jackson Street |
|---|---|
| City | Lacrosse |
| State | Wisconsin (WI) |
| Post Code | 54601 |
| Phone Number | 6087916147 |
| Fax Number | 6087919511 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 1305 |
|
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 |
|---|---|---|---|
| 39365500 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Pamela K Reynolds by the Centers for Medicare & Medicaid Services?
The Pamela K Reynolds has been assigned the NPI (National Provider Identifier) 1720028640 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Pamela K Reynolds?
The Pamela K Reynolds is physically situated at 1005 Jackson Street, in the city of Lacrosse, state of WI, with the postal code 54601.
What is the area of specialization for Pamela K Reynolds, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Pamela K Reynolds is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this area of expertise is 101Ya0400X.
When did Pamela K Reynolds receive its 1720028640 assignment?
The Pamela K Reynolds was assigned its 1720028640 on 2006-06-08, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Pamela K Reynolds most recently updated or revised?
The details related to Pamela K Reynolds, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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