K Hawk Mahoney in Waukesha - Addiction (substance Use Disorder)

K Hawk Mahoney - NPI 1326103854

K Hawk Mahoney is a Addiction (substance Use Disorder) in Waukesha, Wisconsin. K Hawk Mahoney practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for K Hawk Mahoney is 1326103854. The last update date is 2007-07-08.

K Hawk Mahoney's current location address is 721 American Ave, Waukesha, Wisconsin. You can contact this provider via phone number 2629282396 and fax number 2625441213. The mailing address for K Hawk Mahoney is 721 American Ave, Waukesha, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name K Hawk Mahoney
Address 721 American Ave, Waukesha, Wisconsin
Phone Number 2629282396
Fax Number 2625441213
Sole Proprietor N
Credentials CADC III

NPI Number Detail

NPI Number 1326103854
Provider Enumeration Date 2006-12-26
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 721 American Ave
City Waukesha
State Wisconsin (WI)
Post Code 531885071
Phone Number 2629282396
Fax Number 2625441213

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No 2029
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
39372800 WI --

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FAQs about K Hawk Mahoney

What is the K Hawk Mahoney's 1326103854?

The K Hawk Mahoney's NPI (National Provider Identifier) Number is 1326103854. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where K Hawk Mahoney is physically located?

The K Hawk Mahoney is situated at the following address: 721 American Ave, Waukesha, WI 531885071.

What is K Hawk Mahoney's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for K Hawk Mahoney is Addiction (substance Use Disorder), and the taxonomy classification code that categorizes this area of expertise is 101Ya0400X.

On what date did the Centers for Medicare & Medicaid Services issue the 1326103854 to K Hawk Mahoney?

The K Hawk Mahoney received its 1326103854 assignment from the Centers for Medicare & Medicaid Services on 2006-12-26.

As of what date were the details pertaining to K Hawk Mahoney last refreshed?

The information related to the K Hawk Mahoney, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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