Clevevoya Daletrease Jordan in Hiram - Professional
Clevevoya Daletrease Jordan - NPI 1548484132
Clevevoya Daletrease Jordan is a Professional in Hiram, Georgia. Clevevoya Daletrease Jordan practices all healthcare services and medical treatments related to Professional. The NPI Number for Clevevoya Daletrease Jordan is 1548484132. The last update date is 2007-07-08.
Clevevoya Daletrease Jordan's current location address is 127 Enterprise Path Ste 401, Hiram, Georgia. You can contact this provider via phone number 7702226622 and fax number 4042841804. The mailing address for Clevevoya Daletrease Jordan is 127 Enterprise Path Ste 401, Hiram, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Clevevoya Daletrease Jordan |
|---|---|
| Address | 127 Enterprise Path Ste 401, Hiram, Georgia |
| Phone Number | 7702226622 |
| Fax Number | 4042841804 |
| Sole Proprietor | Y |
| Credentials | LPC, NCC |
NPI Number Detail
| NPI Number | 1548484132 |
|---|---|
| Provider Enumeration Date | 2007-04-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 127 Enterprise Path Ste 401 |
|---|---|
| City | Hiram |
| State | Georgia (GA) |
| Post Code | 301412698 |
| Phone Number | 7702226622 |
| Fax Number | 4042841804 |
Provider's Primary Taxonomy Detail
| Speciality | Professional |
|---|---|
| Taxonomy | 101Yp2500X |
| Licence No | 3921 |
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Definition: A general counselor who helps people with personal, social, educational, and career issues. |
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What is the Clevevoya Daletrease Jordan's 1548484132?
The Clevevoya Daletrease Jordan's NPI (National Provider Identifier) Number is 1548484132. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Clevevoya Daletrease Jordan's facilities are geographically located?
The facilities of Clevevoya Daletrease Jordan are physically situated at the following location: 127 Enterprise Path Ste 401, Hiram, GA, 301412698.
What is the Clevevoya Daletrease Jordan's area of specialization and corresponding taxonomy classification?
The Clevevoya Daletrease Jordan's specialty field is Professional, and it falls under the taxonomy code 101Yp2500X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1548484132 to Clevevoya Daletrease Jordan?
The Centers for Medicare & Medicaid Services assigned the 1548484132 to Clevevoya Daletrease Jordan on 2007-04-13.
When was the Clevevoya Daletrease Jordan's information last updated?
The Clevevoya Daletrease Jordan's information was last updated on 2007-07-08.