Gwendolyn Burnley in Vallejo - Addiction (substance Use Disorder)
Gwendolyn Burnley - NPI 1114062080
Gwendolyn Burnley is a Addiction (substance Use Disorder) in Vallejo, California. Gwendolyn Burnley practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Gwendolyn Burnley is 1114062080. The last update date is 2007-07-08.
Gwendolyn Burnley's current location address is 1504 Lassen Ct, Vallejo, California. You can contact this provider via phone number 4157561350. The mailing address for Gwendolyn Burnley is 1504 Lassen Ct, Vallejo, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gwendolyn Burnley |
|---|---|
| Address | 1504 Lassen Ct, Vallejo, California |
| Phone Number | 4157561350 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1114062080 |
|---|---|
| Provider Enumeration Date | 2007-02-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1504 Lassen Ct |
|---|---|
| City | Vallejo |
| State | California (CA) |
| Post Code | 945914022 |
| Phone Number | 4157561350 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
|
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 |
|---|---|---|---|
| 32037 | CA | INSYST STAFF ID NUMBER |
Post Comment/ Review Below
What is the unique identifier code issued to Gwendolyn Burnley by the Centers for Medicare & Medicaid Services (CMS)?
The Gwendolyn Burnley has been assigned the NPI (National Provider Identifier) 1114062080. 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 Gwendolyn Burnley is physically located?
The Gwendolyn Burnley is physically situated at the following address: 1504 Lassen Ct, Vallejo, CA, 945914022.
What is Gwendolyn Burnley's specialized field of practice, and what is the corresponding taxonomy classification code?
The Gwendolyn Burnley'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 was the 1114062080 assigned to Gwendolyn Burnley?
The Gwendolyn Burnley was issued its 1114062080 on 2007-02-20, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Gwendolyn Burnley last refreshed?
The information related to the Gwendolyn Burnley, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
NPI Number: 1972506228
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