Jean I Shooter in Mount Vernon - Mental Health

Jean I Shooter - NPI 1821017146

Jean I Shooter is a Mental Health in Mount Vernon, Ohio. Jean I Shooter practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Jean I Shooter is 1821017146. The last update date is 2011-05-25.

Jean I Shooter's current location address is 8402 Blackjack Road Ext, Mount Vernon, Ohio. You can contact this provider via phone number 7403970442 and fax number 7403921814. The mailing address for Jean I Shooter is 8402 Blackjack Road Ext, Mount Vernon, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Name Jean I Shooter
Address 8402 Blackjack Road Ext, Mount Vernon, Ohio
Phone Number 7403970442
Fax Number 7403921814
Sole Proprietor N
Credentials M.ED./LPCC

NPI Number Detail

NPI Number 1821017146
Provider Enumeration Date 2006-07-18
Last Updated Date 2011-05-25

Provider Mailing Address Detail

Address 8402 Blackjack Road Ext
City Mount Vernon
State Ohio (OH)
Post Code 430509193
Phone Number 7403970442
Fax Number 7403921814

Provider's Primary Taxonomy Detail

Speciality Mental Health
Taxonomy 101Ym0800X
Licence No E-0000776
Definition:
A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more.

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FAQs about Jean I Shooter

What is the unique identification code assigned to Jean I Shooter by the Centers for Medicare & Medicaid Services?

The Jean I Shooter has been issued the NPI (National Provider Identifier) 1821017146. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Jean I Shooter is physically located?

The Jean I Shooter is situated at the following address: 8402 Blackjack Road Ext, Mount Vernon, OH 430509193.

What is the area of specialization for Jean I Shooter, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Jean I Shooter is Mental Health, and the corresponding taxonomy code that categorizes this area of expertise is 101Ym0800X.

On what date did the Centers for Medicare & Medicaid Services assign the 1821017146 to Jean I Shooter?

The Centers for Medicare & Medicaid Services assigned the 1821017146 to Jean I Shooter on 2006-07-18.

As of what date was the information regarding Jean I Shooter, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Jean I Shooter, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-05-25.

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