Jacqueline Gamble Williams in Jacksonville - Addiction (substance Use Disorder)

Jacqueline Gamble Williams - NPI 1790986693

Jacqueline Gamble Williams is a Addiction (substance Use Disorder) in Jacksonville, Florida. Jacqueline Gamble Williams practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Jacqueline Gamble Williams is 1790986693. The last update date is 2007-07-08.

Jacqueline Gamble Williams's current location address is 390 Park St, Jacksonville, Florida. You can contact this provider via phone number 9048996300. The mailing address for Jacqueline Gamble Williams is 390 Park St, Jacksonville, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Jacqueline Gamble Williams
Address 390 Park St, Jacksonville, Florida
Phone Number 9048996300
Fax Number
Sole Proprietor Y
Credentials ASSESSMENT

NPI Number Detail

NPI Number 1790986693
Provider Enumeration Date 2007-05-29
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 390 Park St
City Jacksonville
State Florida (FL)
Post Code 322042342
Phone Number 9048996300
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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FAQs about Jacqueline Gamble Williams

What is the unique 10-digit identification code issued to Jacqueline Gamble Williams by the Centers for Medicare & Medicaid Services?

The Jacqueline Gamble Williams has been assigned the NPI (National Provider Identifier) 1790986693 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you kindly provide the complete physical address where Jacqueline Gamble Williams's facilities are geographically located?

The facilities of Jacqueline Gamble Williams are physically situated at the following location: 390 Park St, Jacksonville, FL, 322042342.

What is the Jacqueline Gamble Williams's specialty and taxonomy code?

The Jacqueline Gamble Williams's specialty is Addiction (substance Use Disorder), and the corresponding taxonomy code is 101Ya0400X.

On what date did the Centers for Medicare & Medicaid Services issue the 1790986693 to Jacqueline Gamble Williams?

The Jacqueline Gamble Williams received its 1790986693 assignment from the Centers for Medicare & Medicaid Services on 2007-05-29.

When was the information regarding Jacqueline Gamble Williams, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Jacqueline Gamble Williams, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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