Jessica Rae Dejulian in Detroit - Addiction (substance Use Disorder)
Jessica Rae Dejulian - NPI 1447414628
Jessica Rae Dejulian is a Addiction (substance Use Disorder) in Detroit, Michigan. Jessica Rae Dejulian practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Jessica Rae Dejulian is 1447414628. The last update date is 2008-07-16.
Jessica Rae Dejulian's current location address is 4646 John R St, Detroit, Michigan. You can contact this provider via phone number 3135761000. The mailing address for Jessica Rae Dejulian is 4646 John R St, Detroit, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jessica Rae Dejulian |
|---|---|
| Address | 4646 John R St, Detroit, Michigan |
| Phone Number | 3135761000 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.S., T.L. |
NPI Number Detail
| NPI Number | 1447414628 |
|---|---|
| Provider Enumeration Date | 2008-07-16 |
| Last Updated Date | 2008-07-16 |
Provider Mailing Address Detail
| Address | 4646 John R St |
|---|---|
| City | Detroit |
| State | Michigan (MI) |
| Post Code | 482011916 |
| Phone Number | 3135761000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 6301013731 |
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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 10-digit identifier code issued to Jessica Rae Dejulian by the Centers for Medicare & Medicaid Services?
The Jessica Rae Dejulian has been assigned the NPI (National Provider Identifier) 1447414628 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Jessica Rae Dejulian is geographically located?
The Jessica Rae Dejulian is physically situated at the following location: 4646 John R St, Detroit, MI, 482011916.
What is Jessica Rae Dejulian's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jessica Rae Dejulian is Addiction (substance Use Disorder), and the corresponding taxonomy classification code for this specialized field is 101Ya0400X.
On what date did the Centers for Medicare & Medicaid Services issue the 1447414628 to Jessica Rae Dejulian?
The Jessica Rae Dejulian received its 1447414628 assignment from the Centers for Medicare & Medicaid Services on 2008-07-16.
As of what date were the Jessica Rae Dejulian's details last updated?
The information pertaining to the Jessica Rae Dejulian, including its address, specialty, and other details, was most recently updated on 2008-07-16.
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