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
Address 709 E Main St, Stoughton, Wisconsin
Phone Number 6088770268
Fax Number
Sole Proprietor N
Credentials MS

NPI Number Detail

NPI Number 1457329336
Provider Enumeration Date 2006-03-08
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 709 E Main St
City Stoughton
State Wisconsin (WI)
Post Code 535891834
Phone Number 6088770268
Fax Number

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
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
40956200 WI --

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FAQs about Wanda J Keniston

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.

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