Jennifer M. Wallace in Henderson - Addiction (substance Use Disorder)
Jennifer M. Wallace - NPI 1093927907
Jennifer M. Wallace is a Addiction (substance Use Disorder) in Henderson, Nevada. Jennifer M. Wallace practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Jennifer M. Wallace is 1093927907. The last update date is 2007-07-08.
Jennifer M. Wallace's current location address is 2298 W Horizon Ridge Pkwy, Henderson, Nevada. You can contact this provider via phone number 7023637284 and fax number 7022425252. The mailing address for Jennifer M. Wallace is 2298 W Horizon Ridge Pkwy, Henderson, Nevada. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jennifer M. Wallace |
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Address | 2298 W Horizon Ridge Pkwy, Henderson, Nevada |
Phone Number | 7023637284 |
Fax Number | 7022425252 |
Sole Proprietor | N |
Credentials | M.ED |
NPI Number Detail
NPI Number | 1093927907 |
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Provider Enumeration Date | 2007-05-04 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 2298 W Horizon Ridge Pkwy |
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City | Henderson |
State | Nevada (NV) |
Post Code | 890522696 |
Phone Number | 7023637284 |
Fax Number | 7022425252 |
Provider's Primary Taxonomy Detail
Speciality | Addiction (substance Use Disorder) |
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Taxonomy | 101Ya0400X |
Licence No | 1118L |
Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Jennifer M. Wallace by the Centers for Medicare & Medicaid Services?
The Jennifer M. Wallace has been assigned the NPI (National Provider Identifier) 1093927907 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Jennifer M. Wallace is geographically located?
The Jennifer M. Wallace is physically situated at the following location: 2298 W Horizon Ridge Pkwy, Henderson, NV, 890522696.
What is the Jennifer M. Wallace's specialty and taxonomy code?
The Jennifer M. Wallace's specialty is Addiction (substance Use Disorder), and the corresponding taxonomy code is 101Ya0400X.
On what date did the Centers for Medicare & Medicaid Services issue the 1093927907 to Jennifer M. Wallace?
The Jennifer M. Wallace received its 1093927907 assignment from the Centers for Medicare & Medicaid Services on 2007-05-04.
When was the information pertaining to Jennifer M. Wallace most recently updated or revised?
The details related to Jennifer M. Wallace, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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