Douglas Vader is a Mental Health in Yreka, California. Douglas Vader practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Douglas Vader is 1861517310. The last update date is 2008-03-13.
Douglas Vader's current location address is 1215 S Main St, Yreka, California. You can contact this provider via phone number 5308414200. The mailing address for Douglas Vader is 1215 S Main St, Yreka, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Douglas Vader |
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Address | 1215 S Main St, Yreka, California |
Phone Number | 5308414200 |
Fax Number | |
Sole Proprietor | N |
Credentials | -- |
NPI Number Detail
NPI Number | 1861517310 |
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Provider Enumeration Date | 2007-03-20 |
Last Updated Date | 2008-03-13 |
Provider Mailing Address Detail
Address | 1215 S Main St |
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City | Yreka |
State | California (CA) |
Post Code | 960973479 |
Phone Number | 5308414200 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Mental Health |
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Taxonomy | 101Ym0800X |
Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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What is the unique 10-digit identification code issued to Douglas Vader by the Centers for Medicare & Medicaid Services?
The Douglas Vader has been assigned the NPI (National Provider Identifier) 1861517310 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Douglas Vader?
The Douglas Vader is physically situated at 1215 S Main St, in the city of Yreka, state of CA, with the postal code 960973479.
What is Douglas Vader's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Douglas Vader is Mental Health, and the taxonomy code that categorizes this field of expertise is 101Ym0800X.
On what date did Douglas Vader receive its 1861517310 assignment from the Centers for Medicare & Medicaid Services?
The Douglas Vader was assigned its 1861517310 on 2007-03-20, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Douglas Vader most recently updated?
The details pertaining to the Douglas Vader, including its address, specialty, and other relevant information, were last refreshed on 2008-03-13.