Rita Jean Brafford in Oconomowoc - Mental Health

Rita Jean Brafford - NPI 1700992708

Rita Jean Brafford is a Mental Health in Oconomowoc, Wisconsin. Rita Jean Brafford practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Rita Jean Brafford is 1700992708. The last update date is 2018-06-29.

Rita Jean Brafford's current location address is 1230 Corporate Center Dr, Oconomowoc, Wisconsin. You can contact this provider via phone number 2625423255 and fax number 2625675451. The mailing address for Rita Jean Brafford is 1230 Corporate Center Dr, Oconomowoc, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Rita Jean Brafford
Address 1230 Corporate Center Dr, Oconomowoc, Wisconsin
Phone Number 2625423255
Fax Number 2625675451
Sole Proprietor N
Credentials LCSW, CADC

NPI Number Detail

NPI Number 1700992708
Provider Enumeration Date 2006-08-22
Last Updated Date 2018-06-29

Provider Mailing Address Detail

Address 1230 Corporate Center Dr
City Oconomowoc
State Wisconsin (WI)
Post Code 530664883
Phone Number 2625423255
Fax Number 2625675451

Provider's Primary Taxonomy Detail

Speciality Mental Health
Taxonomy 101Ym0800X
Licence No 6612-123
Definition:
A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
13350 WI ALCOHOL & DRUG COUNSELOR
39788800 WV --

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FAQs about Rita Jean Brafford

What is the unique identifier code issued to Rita Jean Brafford by the Centers for Medicare & Medicaid Services (CMS)?

The Rita Jean Brafford has been assigned the NPI (National Provider Identifier) 1700992708. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete street address where Rita Jean Brafford is physically located?

The Rita Jean Brafford is physically situated at the following address: 1230 Corporate Center Dr, Oconomowoc, WI, 530664883.

What is Rita Jean Brafford's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Rita Jean Brafford is Mental Health, and the corresponding taxonomy classification code for this specialized field is 101Ym0800X.

On what date did Rita Jean Brafford receive its 1700992708 assignment from the Centers for Medicare & Medicaid Services?

The Rita Jean Brafford was assigned its 1700992708 on 2006-08-22, 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 Rita Jean Brafford last refreshed?

The information related to the Rita Jean Brafford, including its address, specialty, and other relevant details, was last updated on 2018-06-29.

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