Jerry Havens is a Mental Health in Marion, Indiana. Jerry Havens practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Jerry Havens is 1073566998. The last update date is 2007-07-08.
Jerry Havens's current location address is 505 N Wabash Ave, Marion, Indiana. You can contact this provider via phone number 7656623971. The mailing address for Jerry Havens is 505 N Wabash Ave, Marion, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry Havens |
|---|---|
| Address | 505 N Wabash Ave, Marion, Indiana |
| Phone Number | 7656623971 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1073566998 |
|---|---|
| Provider Enumeration Date | 2006-05-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 505 N Wabash Ave |
|---|---|
| City | Marion |
| State | Indiana (IN) |
| Post Code | 469522608 |
| Phone Number | 7656623971 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | 34001583A |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jerry Havens by the Centers for Medicare & Medicaid Services?
The Jerry Havens has been issued the NPI (National Provider Identifier) 1073566998 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Jerry Havens?
The Jerry Havens is situated at 505 N Wabash Ave, in the city of Marion, state of IN, with the zip code 469522608.
What is Jerry Havens's area of expertise and its corresponding taxonomy classification?
The Jerry Havens's field of specialization is Mental Health, and it falls under the taxonomy code 101Ym0800X, which categorizes healthcare providers based on their areas of practice.
When did Jerry Havens receive its 1073566998 assignment?
The Jerry Havens was assigned its 1073566998 on 2006-05-19, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Jerry Havens most recently updated or revised?
The information pertaining to Jerry Havens, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.