Lavonne Jacobson in Shawano - Addiction (substance Use Disorder)
Lavonne Jacobson - NPI 1104017953
Lavonne Jacobson is a Addiction (substance Use Disorder) in Shawano, Wisconsin. Lavonne Jacobson practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Lavonne Jacobson is 1104017953. The last update date is 2014-01-15.
Lavonne Jacobson's current location address is 504 Lakeland Rd, Shawano, Wisconsin. You can contact this provider via phone number 7155265547 and fax number 7155265542. The mailing address for Lavonne Jacobson is 504 Lakeland Rd, Shawano, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lavonne Jacobson |
|---|---|
| Address | 504 Lakeland Rd, Shawano, Wisconsin |
| Phone Number | 7155265547 |
| Fax Number | 7155265542 |
| Sole Proprietor | N |
| Credentials | CSAC |
NPI Number Detail
| NPI Number | 1104017953 |
|---|---|
| Provider Enumeration Date | 2007-08-07 |
| Last Updated Date | 2014-01-15 |
Provider Mailing Address Detail
| Address | 504 Lakeland Rd |
|---|---|
| City | Shawano |
| State | Wisconsin (WI) |
| Post Code | 541663836 |
| Phone Number | 7155265547 |
| Fax Number | 7155265542 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
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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 Lavonne Jacobson by the Centers for Medicare & Medicaid Services?
The Lavonne Jacobson has been issued the NPI (National Provider Identifier) 1104017953 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Lavonne Jacobson is physically located?
The Lavonne Jacobson is situated at the following address: 504 Lakeland Rd, Shawano, WI 541663836.
What is the area of specialization for Lavonne Jacobson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Lavonne Jacobson is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this area of expertise is 101Ya0400X.
When did the Lavonne Jacobson receive its 1104017953?
The Lavonne Jacobson was issued its 1104017953 on 2007-08-07, which is the date when the organization was assigned this unique identifier.
When was the information regarding Lavonne Jacobson most recently updated?
The details pertaining to the Lavonne Jacobson, including its address, specialty, and other relevant information, were last refreshed on 2014-01-15.
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