Gwendolyn Jayne Martell-Daniels in Merrill - Addiction (substance Use Disorder)

Gwendolyn Jayne Martell-Daniels - NPI 1891906889

Gwendolyn Jayne Martell-Daniels is a Addiction (substance Use Disorder) in Merrill, Wisconsin. Gwendolyn Jayne Martell-Daniels practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Gwendolyn Jayne Martell-Daniels is 1891906889. The last update date is 2015-07-24.

Gwendolyn Jayne Martell-Daniels's current location address is N2355 Smith Rd, Merrill, Wisconsin. You can contact this provider via phone number 7155511970 and fax number 7155393580. The mailing address for Gwendolyn Jayne Martell-Daniels is N2355 Smith Rd, Merrill, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Gwendolyn Jayne Martell-Daniels
Address N2355 Smith Rd, Merrill, Wisconsin
Phone Number 7155511970
Fax Number 7155393580
Sole Proprietor Y
Credentials LCSW, SAC

NPI Number Detail

NPI Number 1891906889
Provider Enumeration Date 2007-05-24
Last Updated Date 2015-07-24

Provider Mailing Address Detail

Address N2355 Smith Rd
City Merrill
State Wisconsin (WI)
Post Code 544529453
Phone Number 7155511970
Fax Number 7155393580

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No 11275
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
40927200 WI --
39-1991697 WI FED TAX ID
602114 WI STATE TAX ID

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FAQs about Gwendolyn Jayne Martell-Daniels

What is the unique identifier code issued to Gwendolyn Jayne Martell-Daniels by the Centers for Medicare & Medicaid Services?

The Gwendolyn Jayne Martell-Daniels has been assigned the NPI (National Provider Identifier) 1891906889. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Gwendolyn Jayne Martell-Daniels's facilities are situated?

The facilities of Gwendolyn Jayne Martell-Daniels are physically located at the following address: N2355 Smith Rd, Merrill, WI, 544529453.

What is Gwendolyn Jayne Martell-Daniels's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Gwendolyn Jayne Martell-Daniels is Addiction (substance Use Disorder), and the taxonomy code that categorizes this field of expertise is 101Ya0400X.

When was the Gwendolyn Jayne Martell-Daniels's 1891906889 issued?

The Gwendolyn Jayne Martell-Daniels's 1891906889 was issued on 2007-05-24.

When was the information regarding Gwendolyn Jayne Martell-Daniels, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Gwendolyn Jayne Martell-Daniels, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2015-07-24.

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