Brad Vuncannon in Corinth - Addiction (substance Use Disorder)
Brad Vuncannon - NPI 1205013158
Brad Vuncannon is a Addiction (substance Use Disorder) in Corinth, Mississippi. Brad Vuncannon practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Brad Vuncannon is 1205013158. The last update date is 2008-01-23.
Brad Vuncannon's current location address is 104 Newhope Drive, Corinth, Mississippi. You can contact this provider via phone number 6622877199 and fax number 6622868095. The mailing address for Brad Vuncannon is 104 Newhope Drive, Corinth, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brad Vuncannon |
|---|---|
| Address | 104 Newhope Drive, Corinth, Mississippi |
| Phone Number | 6622877199 |
| Fax Number | 6622868095 |
| Sole Proprietor | Y |
| Credentials | CADC |
NPI Number Detail
| NPI Number | 1205013158 |
|---|---|
| Provider Enumeration Date | 2008-01-23 |
| Last Updated Date | 2008-01-23 |
Provider Mailing Address Detail
| Address | 104 Newhope Drive |
|---|---|
| City | Corinth |
| State | Mississippi (MS) |
| Post Code | 38834 |
| Phone Number | 6622877199 |
| Fax Number | 6622868095 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Brad Vuncannon?
The Brad Vuncannon has been issued the NPI (National Provider Identifier) 1205013158 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Brad Vuncannon's facilities are geographically located?
The facilities of Brad Vuncannon are physically situated at the following location: 104 Newhope Drive, Corinth, MS, 38834.
What is Brad Vuncannon's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Brad Vuncannon's specialized field of practice is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this area of specialization is 101Ya0400X.
On what date did the Centers for Medicare & Medicaid Services issue the 1205013158 to Brad Vuncannon?
The Brad Vuncannon received its 1205013158 assignment from the Centers for Medicare & Medicaid Services on 2008-01-23.
As of what date were the details pertaining to Brad Vuncannon last refreshed?
The information related to the Brad Vuncannon, including its address, specialty, and other relevant details, was last updated on 2008-01-23.
NPI Number: 1962405878
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