Mary Jane Whitmore in Racine - Addiction (substance Use Disorder)
Mary Jane Whitmore - NPI 1134175334
Mary Jane Whitmore is a Addiction (substance Use Disorder) in Racine, Wisconsin. Mary Jane Whitmore practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Mary Jane Whitmore is 1134175334. The last update date is 2007-07-12.
Mary Jane Whitmore's current location address is 840 Lake Ave, Racine, Wisconsin. You can contact this provider via phone number 2626348688 and fax number 2626347547. The mailing address for Mary Jane Whitmore is 840 Lake Ave, Racine, Wisconsin. To know further, please read the information below!
Provider Profile Detail
Provider Name | Mary Jane Whitmore |
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Address | 840 Lake Ave, Racine, Wisconsin |
Phone Number | 2626348688 |
Fax Number | 2626347547 |
Sole Proprietor | N |
Credentials | LCSW, CADC |
NPI Number Detail
NPI Number | 1134175334 |
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Provider Enumeration Date | 2006-05-26 |
Last Updated Date | 2007-07-12 |
Provider Mailing Address Detail
Address | 840 Lake Ave |
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City | Racine |
State | Wisconsin (WI) |
Post Code | 534031566 |
Phone Number | 2626348688 |
Fax Number | 2626347547 |
Provider's Primary Taxonomy Detail
Speciality | Addiction (substance Use Disorder) |
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Taxonomy | 101Ya0400X |
Licence No | 1623-132 |
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 |
---|---|---|---|
39341100 | WI | -- |
Post Comment/ Review Below
What is the Mary Jane Whitmore's unique identification number?
The Mary Jane Whitmore has been assigned the NPI (National Provider Identifier) Number 1134175334 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Mary Jane Whitmore is geographically located?
The Mary Jane Whitmore is physically situated at the following location: 840 Lake Ave, Racine, WI, 534031566.
What is Mary Jane Whitmore's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Mary Jane Whitmore is Addiction (substance Use Disorder), and the corresponding taxonomy classification code for this specialized field is 101Ya0400X.
On what date did the Mary Jane Whitmore receive the assignment of its 1134175334 from the Centers for Medicare & Medicaid Services?
The Mary Jane Whitmore was issued its 1134175334 by the Centers for Medicare & Medicaid Services on 2006-05-26.
When was the Mary Jane Whitmore's information last updated?
The Mary Jane Whitmore's information was last updated on 2007-07-12.