Jeremy F Blades in Gooding - Addiction (substance Use Disorder)

Jeremy F Blades - NPI 1184871816

Jeremy F Blades is a Addiction (substance Use Disorder) in Gooding, Idaho. Jeremy F Blades practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Jeremy F Blades is 1184871816. The last update date is 2008-08-25.

Jeremy F Blades's current location address is 605 11th Ave E, Gooding, Idaho. You can contact this provider via phone number 2089348461 and fax number 2089345437. The mailing address for Jeremy F Blades is 605 11th Ave E, Gooding, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Name Jeremy F Blades
Address 605 11th Ave E, Gooding, Idaho
Phone Number 2089348461
Fax Number 2089345437
Sole Proprietor Y
Credentials CADC

NPI Number Detail

NPI Number 1184871816
Provider Enumeration Date 2008-08-25
Last Updated Date 2008-08-25

Provider Mailing Address Detail

Address 605 11th Ave E
City Gooding
State Idaho (ID)
Post Code 833305368
Phone Number 2089348461
Fax Number 2089345437

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No 1139008
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

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FAQs about Jeremy F Blades

What is the Jeremy F Blades's 1184871816?

The Jeremy F Blades's NPI (National Provider Identifier) Number is 1184871816. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Jeremy F Blades?

The Jeremy F Blades is situated at 605 11Th Ave E, in the city of Gooding, state of ID, with the zip code 833305368.

What is Jeremy F Blades's area of expertise and its corresponding taxonomy classification?

The Jeremy F Blades's field of specialization is Addiction (substance Use Disorder), and it falls under the taxonomy code 101Ya0400X, which categorizes healthcare providers based on their areas of practice.

When was the Jeremy F Blades's 1184871816 issued?

The Jeremy F Blades's 1184871816 was issued on 2008-08-25.

As of what date was the information regarding Jeremy F Blades, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Jeremy F Blades, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-08-25.

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