Raven L.E. Jirikovic in Clinton - Mental Health
Raven L.E. Jirikovic - NPI 1447343942
Raven L.E. Jirikovic is a Mental Health in Clinton, Washington. Raven L.E. Jirikovic practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Raven L.E. Jirikovic is 1447343942. The last update date is 2007-07-08.
Raven L.E. Jirikovic's current location address is 3785 E. Midvale Rd., Clinton, Washington. You can contact this provider via phone number 8888412281. The mailing address for Raven L.E. Jirikovic is 3785 E. Midvale Rd., Clinton, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Raven L.E. Jirikovic |
|---|---|
| Address | 3785 E. Midvale Rd., Clinton, Washington |
| Phone Number | 8888412281 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1447343942 |
|---|---|
| Provider Enumeration Date | 2006-10-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3785 E. Midvale Rd. |
|---|---|
| City | Clinton |
| State | Washington (WA) |
| Post Code | 98236 |
| Phone Number | 8888412281 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | RC00029629 |
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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 identifier code assigned to Raven L.E. Jirikovic by the Centers for Medicare & Medicaid Services?
The Raven L.E. Jirikovic has been issued the NPI (National Provider Identifier) 1447343942 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Raven L.E. Jirikovic's physical address?
The Raven L.E. Jirikovic is physically located at 3785 E. Midvale Rd., in the city of Clinton, WA, with the postal code 98236.
What is Raven L.E. Jirikovic's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Raven L.E. Jirikovic is Mental Health, and the taxonomy code that classifies this field of practice is 101Ym0800X.
On what date did Raven L.E. Jirikovic receive its 1447343942 assignment from the Centers for Medicare & Medicaid Services?
The Raven L.E. Jirikovic was assigned its 1447343942 on 2006-10-02, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Raven L.E. Jirikovic last refreshed?
The information related to the Raven L.E. Jirikovic, including its address, specialty, and other relevant details, was last updated on 2007-07-08.