Jacques Dewayne Green in Grand Rapids - Addiction (substance Use Disorder)
Jacques Dewayne Green - NPI 1841482791
Jacques Dewayne Green is a Addiction (substance Use Disorder) in Grand Rapids, Michigan. Jacques Dewayne Green practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Jacques Dewayne Green is 1841482791. The last update date is 2017-05-03.
Jacques Dewayne Green's current location address is 359 Division Ave S, Grand Rapids, Michigan. You can contact this provider via phone number 6166853800. The mailing address for Jacques Dewayne Green is 359 Division Ave S, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacques Dewayne Green |
|---|---|
| Address | 359 Division Ave S, Grand Rapids, Michigan |
| Phone Number | 6166853800 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LMSW |
NPI Number Detail
| NPI Number | 1841482791 |
|---|---|
| Provider Enumeration Date | 2007-08-15 |
| Last Updated Date | 2017-05-03 |
Provider Mailing Address Detail
| Address | 359 Division Ave S |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495034537 |
| Phone Number | 6166853800 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | C-03173 |
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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 Jacques Dewayne Green by the Centers for Medicare & Medicaid Services?
The Jacques Dewayne Green has been assigned the NPI (National Provider Identifier) 1841482791 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 Jacques Dewayne Green?
The Jacques Dewayne Green is physically situated at 359 Division Ave S, in the city of Grand Rapids, state of MI, with the postal code 495034537.
What is Jacques Dewayne Green's area of expertise and its corresponding taxonomy classification?
The Jacques Dewayne Green'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.
On what date was the 1841482791 assigned to Jacques Dewayne Green?
The Jacques Dewayne Green was issued its 1841482791 on 2007-08-15, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Jacques Dewayne Green most recently updated?
The details pertaining to the Jacques Dewayne Green, including its address, specialty, and other relevant information, were last refreshed on 2017-05-03.
NPI Number: 1841293149
Address: Po Box 40908, Fayetteville, NC