Joey Jesse Reynoso in Clovis - Addiction (substance Use Disorder)
Joey Jesse Reynoso - NPI 1194851410
Joey Jesse Reynoso is a Addiction (substance Use Disorder) in Clovis, California. Joey Jesse Reynoso practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Joey Jesse Reynoso is 1194851410. The last update date is 2007-07-08.
Joey Jesse Reynoso's current location address is 222 W Alamos Ave Apt 103c, Clovis, California. You can contact this provider via phone number 5597909785. The mailing address for Joey Jesse Reynoso is 222 W Alamos Ave Apt 103c, Clovis, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Joey Jesse Reynoso |
|---|---|
| Address | 222 W Alamos Ave Apt 103c, Clovis, California |
| Phone Number | 5597909785 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1194851410 |
|---|---|
| Provider Enumeration Date | 2007-02-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 222 W Alamos Ave Apt 103c |
|---|---|
| City | Clovis |
| State | California (CA) |
| Post Code | 936123611 |
| Phone Number | 5597909785 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 101076 | CA | DRUG MEDI-CAL |
Post Comment/ Review Below
What is the Joey Jesse Reynoso's 1194851410?
The Joey Jesse Reynoso's NPI (National Provider Identifier) Number is 1194851410. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Joey Jesse Reynoso's physical address?
The Joey Jesse Reynoso is physically located at 222 W Alamos Ave Apt 103C, in the city of Clovis, CA, with the postal code 936123611.
What is Joey Jesse Reynoso's specialized field of practice, and what is the corresponding taxonomy classification code?
The Joey Jesse Reynoso's area of specialization is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this field of practice is 101Ya0400X.
On what date did Joey Jesse Reynoso receive its 1194851410 assignment from the Centers for Medicare & Medicaid Services?
The Joey Jesse Reynoso was assigned its 1194851410 on 2007-02-23, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Joey Jesse Reynoso, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Joey Jesse Reynoso, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.