Maria G Jensen in Burley - Addiction (substance Use Disorder)
Maria G Jensen - NPI 1245408400
Maria G Jensen is a Addiction (substance Use Disorder) in Burley, Idaho. Maria G Jensen practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Maria G Jensen is 1245408400. The last update date is 2008-02-11.
Maria G Jensen's current location address is 2975 Overland Ave, Burley, Idaho. You can contact this provider via phone number 2088782600 and fax number 2088781336. The mailing address for Maria G Jensen is 2975 Overland Ave, Burley, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Maria G Jensen |
|---|---|
| Address | 2975 Overland Ave, Burley, Idaho |
| Phone Number | 2088782600 |
| Fax Number | 2088781336 |
| Sole Proprietor | N |
| Credentials | RN, ICADC |
NPI Number Detail
| NPI Number | 1245408400 |
|---|---|
| Provider Enumeration Date | 2008-02-11 |
| Last Updated Date | 2008-02-11 |
Provider Mailing Address Detail
| Address | 2975 Overland Ave |
|---|---|
| City | Burley |
| State | Idaho (ID) |
| Post Code | 833183231 |
| Phone Number | 2088782600 |
| Fax Number | 2088781336 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | N-15573 |
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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 |
|---|---|---|---|
| 10028634 | ID | REGENCE BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Maria G Jensen by the Centers for Medicare & Medicaid Services?
The Maria G Jensen has been assigned the NPI (National Provider Identifier) 1245408400 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Maria G Jensen?
The Maria G Jensen is physically situated at 2975 Overland Ave, in the city of Burley, state of ID, with the postal code 833183231.
What is Maria G Jensen's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Maria G Jensen is Addiction (substance Use Disorder), and the corresponding taxonomy classification code for this specialized field is 101Ya0400X.
On what date did the Maria G Jensen receive its 1245408400 assignment from the Centers for Medicare & Medicaid Services?
The Maria G Jensen was assigned its 1245408400 by the Centers for Medicare & Medicaid Services on 2008-02-11.
When was the Maria G Jensen's information last updated?
The Maria G Jensen's information was last updated on 2008-02-11.