Kerrie Jo Larsonkerkman in Appleton - Addiction (substance Use Disorder)
Kerrie Jo Larsonkerkman - NPI 1407045966
Kerrie Jo Larsonkerkman is a Addiction (substance Use Disorder) in Appleton, Wisconsin. Kerrie Jo Larsonkerkman practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Kerrie Jo Larsonkerkman is 1407045966. The last update date is 2019-02-15.
Kerrie Jo Larsonkerkman's current location address is 1531 S Madison St, Appleton, Wisconsin. You can contact this provider via phone number 9207382000. The mailing address for Kerrie Jo Larsonkerkman is 1531 S Madison St, Appleton, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kerrie Jo Larsonkerkman |
|---|---|
| Address | 1531 S Madison St, Appleton, Wisconsin |
| Phone Number | 9207382000 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | CSAC |
NPI Number Detail
| NPI Number | 1407045966 |
|---|---|
| Provider Enumeration Date | 2007-10-22 |
| Last Updated Date | 2019-02-15 |
Provider Mailing Address Detail
| Address | 1531 S Madison St |
|---|---|
| City | Appleton |
| State | Wisconsin (WI) |
| Post Code | 549151800 |
| Phone Number | 9207382000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 2153-132 |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Kerrie Jo Larsonkerkman by the Centers for Medicare & Medicaid Services?
The Kerrie Jo Larsonkerkman has been issued the NPI (National Provider Identifier) 1407045966 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Kerrie Jo Larsonkerkman?
The Kerrie Jo Larsonkerkman is physically situated at 1531 S Madison St, in the city of Appleton, state of WI, with the postal code 549151800.
What is the area of specialization for Kerrie Jo Larsonkerkman, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Kerrie Jo Larsonkerkman is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this area of expertise is 101Ya0400X.
On what date did the Kerrie Jo Larsonkerkman receive its 1407045966 assignment from the Centers for Medicare & Medicaid Services?
The Kerrie Jo Larsonkerkman was assigned its 1407045966 by the Centers for Medicare & Medicaid Services on 2007-10-22.
As of what date were the details related to Kerrie Jo Larsonkerkman most recently updated or revised?
The information pertaining to Kerrie Jo Larsonkerkman, including its address, specialty, and other relevant details, was last updated or revised on 2019-02-15.