Wanda J Keniston in Stoughton - Addiction (substance Use Disorder)
Wanda J Keniston - NPI 1457329336
Wanda J Keniston is a Addiction (substance Use Disorder) in Stoughton, Wisconsin. Wanda J Keniston practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Wanda J Keniston is 1457329336. The last update date is 2007-07-08.
Wanda J Keniston's current location address is 709 E Main St, Stoughton, Wisconsin. You can contact this provider via phone number 6088770268. The mailing address for Wanda J Keniston is 709 E Main St, Stoughton, Wisconsin. To know further, please read the information below!
Provider Profile Detail
Provider Name | Wanda J Keniston |
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Address | 709 E Main St, Stoughton, Wisconsin |
Phone Number | 6088770268 |
Fax Number | |
Sole Proprietor | N |
Credentials | MS |
NPI Number Detail
NPI Number | 1457329336 |
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Provider Enumeration Date | 2006-03-08 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 709 E Main St |
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City | Stoughton |
State | Wisconsin (WI) |
Post Code | 535891834 |
Phone Number | 6088770268 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Addiction (substance Use Disorder) |
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Taxonomy | 101Ya0400X |
Licence No | 3320 |
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 |
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40956200 | WI | -- |
Post Comment/ Review Below
What is the Wanda J Keniston's 1457329336?
The Wanda J Keniston's NPI (National Provider Identifier) Number is 1457329336. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Wanda J Keniston's physical address?
The Wanda J Keniston is physically located at 709 E Main St, in the city of Stoughton, WI, with the postal code 535891834.
What is the area of specialization for Wanda J Keniston, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Wanda J Keniston is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this area of expertise is 101Ya0400X.
On what date was the 1457329336 assigned to Wanda J Keniston?
The Wanda J Keniston was issued its 1457329336 on 2006-03-08, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Wanda J Keniston most recently updated or refreshed?
The details pertaining to the Wanda J Keniston, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY