Jason Staires in Fort Collins - Addiction (substance Use Disorder)
Jason Staires - NPI 1124135819
Jason Staires is a Addiction (substance Use Disorder) in Fort Collins, Colorado. Jason Staires practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Jason Staires is 1124135819. The last update date is 2020-08-14.
Jason Staires's current location address is 4856 Innovation Dr Ste B, Fort Collins, Colorado. You can contact this provider via phone number 9704944200. The mailing address for Jason Staires is 4856 Innovation Dr Ste B, Fort Collins, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jason Staires |
|---|---|
| Address | 4856 Innovation Dr Ste B, Fort Collins, Colorado |
| Phone Number | 9704944200 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LPC, CAS, |
NPI Number Detail
| NPI Number | 1124135819 |
|---|---|
| Provider Enumeration Date | 2006-08-25 |
| Last Updated Date | 2020-08-14 |
Provider Mailing Address Detail
| Address | 4856 Innovation Dr Ste B |
|---|---|
| City | Fort Collins |
| State | Colorado (CO) |
| Post Code | 805255540 |
| Phone Number | 9704944200 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | ACC.0997244 |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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What is the unique identifier code issued to Jason Staires by the Centers for Medicare & Medicaid Services (CMS)?
The Jason Staires has been assigned the NPI (National Provider Identifier) 1124135819. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Jason Staires?
The Jason Staires is physically situated at 4856 Innovation Dr Ste B, in the city of Fort Collins, state of CO, with the postal code 805255540.
What is Jason Staires's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jason Staires is Addiction (substance Use Disorder), and the taxonomy code that classifies this field of practice is 101Ya0400X.
On what date did the Jason Staires receive the assignment of its 1124135819 from the Centers for Medicare & Medicaid Services?
The Jason Staires was issued its 1124135819 by the Centers for Medicare & Medicaid Services on 2006-08-25.
When was the information related to Jason Staires most recently updated or refreshed?
The details pertaining to the Jason Staires, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-14.
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