Wade M Falconburg in Twin Falls - Addiction (substance Use Disorder)

Wade M Falconburg - NPI 1891994307

Wade M Falconburg is a Addiction (substance Use Disorder) in Twin Falls, Idaho. Wade M Falconburg practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Wade M Falconburg is 1891994307. The last update date is 2016-10-26.

Wade M Falconburg's current location address is 202 2nd Ave N, Twin Falls, Idaho. You can contact this provider via phone number 2087326112 and fax number 2087326116. The mailing address for Wade M Falconburg is 202 2nd Ave N, Twin Falls, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Name Wade M Falconburg
Address 202 2nd Ave N, Twin Falls, Idaho
Phone Number 2087326112
Fax Number 2087326116
Sole Proprietor Y
Credentials LCSW, ACAD

NPI Number Detail

NPI Number 1891994307
Provider Enumeration Date 2007-07-13
Last Updated Date 2016-10-26

Provider Mailing Address Detail

Address 202 2nd Ave N
City Twin Falls
State Idaho (ID)
Post Code 833016158
Phone Number 2087326112
Fax Number 2087326116

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No ACADC-90
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

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FAQs about Wade M Falconburg

What is the unique 10-digit identifier code assigned to Wade M Falconburg by the Centers for Medicare & Medicaid Services?

The Wade M Falconburg has been issued the NPI (National Provider Identifier) 1891994307 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Wade M Falconburg is geographically located?

The Wade M Falconburg is physically situated at the following location: 202 2Nd Ave N, Twin Falls, ID, 833016158.

What is Wade M Falconburg's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Wade M Falconburg is Addiction (substance Use Disorder), and the taxonomy code that categorizes this field of expertise is 101Ya0400X.

On what date did the Wade M Falconburg receive the assignment of its 1891994307 from the Centers for Medicare & Medicaid Services?

The Wade M Falconburg was issued its 1891994307 by the Centers for Medicare & Medicaid Services on 2007-07-13.

As of what date were the details pertaining to Wade M Falconburg last refreshed?

The information related to the Wade M Falconburg, including its address, specialty, and other relevant details, was last updated on 2016-10-26.

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