Jean A Daute in Stoughton - Addiction (substance Use Disorder)

Jean A Daute - NPI 1184690679

Jean A Daute is a Addiction (substance Use Disorder) in Stoughton, Wisconsin. Jean A Daute practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Jean A Daute is 1184690679. The last update date is 2012-07-02.

Jean A Daute's current location address is 135 W Main St, Stoughton, Wisconsin. You can contact this provider via phone number 6088737838 and fax number 8776742177. The mailing address for Jean A Daute is 135 W Main St, Stoughton, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Jean A Daute
Address 135 W Main St, Stoughton, Wisconsin
Phone Number 6088737838
Fax Number 8776742177
Sole Proprietor Y
Credentials MS LPC CSA

NPI Number Detail

NPI Number 1184690679
Provider Enumeration Date 2006-02-24
Last Updated Date 2012-07-02

Provider Mailing Address Detail

Address 135 W Main St
City Stoughton
State Wisconsin (WI)
Post Code 535892100
Phone Number 6088737838
Fax Number 8776742177

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No 1453
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
39335400 WI --

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FAQs about Jean A Daute

What is the unique 10-digit identifier code assigned to Jean A Daute by the Centers for Medicare & Medicaid Services?

The Jean A Daute has been issued the NPI (National Provider Identifier) 1184690679 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Jean A Daute's facilities are situated?

The facilities of Jean A Daute are physically located at the following address: 135 W Main St, Stoughton, WI, 535892100.

What is Jean A Daute's area of expertise and its corresponding taxonomy classification?

The Jean A Daute's field of specialization is Addiction (substance Use Disorder), and it falls under the taxonomy code 101Ya0400X, which categorizes healthcare providers based on their areas of practice.

When was the Jean A Daute's 1184690679 issued?

The Jean A Daute's 1184690679 was issued on 2006-02-24.

As of what date were the details related to Jean A Daute most recently updated or revised?

The information pertaining to Jean A Daute, including its address, specialty, and other relevant details, was last updated or revised on 2012-07-02.

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