Maronda Robertson in Fargo - Addiction (substance Use Disorder)
Maronda Robertson - NPI 1689862112
Maronda Robertson is a Addiction (substance Use Disorder) in Fargo, North Dakota. Maronda Robertson practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Maronda Robertson is 1689862112. The last update date is 2007-10-10.
Maronda Robertson's current location address is 1202 23 St S, Fargo, North Dakota. You can contact this provider via phone number 7012935429 and fax number 7012930736. The mailing address for Maronda Robertson is 1202 23 St S, Fargo, North Dakota. To know further, please read the information below!
Provider Profile Detail
Provider Name | Maronda Robertson |
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Address | 1202 23 St S, Fargo, North Dakota |
Phone Number | 7012935429 |
Fax Number | 7012930736 |
Sole Proprietor | N |
Credentials | LPC |
NPI Number Detail
NPI Number | 1689862112 |
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Provider Enumeration Date | 2007-10-10 |
Last Updated Date | 2007-10-10 |
Provider Mailing Address Detail
Address | 1202 23 St S |
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City | Fargo |
State | North Dakota (ND) |
Post Code | 58103 |
Phone Number | 7012935429 |
Fax Number | 7012930736 |
Provider's Primary Taxonomy Detail
Speciality | Addiction (substance Use Disorder) |
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Taxonomy | 101Ya0400X |
Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
3002 | ND | -- |
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What is the unique 10-digit identification code issued to Maronda Robertson by the Centers for Medicare & Medicaid Services?
The Maronda Robertson has been assigned the NPI (National Provider Identifier) 1689862112 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Maronda Robertson located?
The Maronda Robertson is located at 1202 23 St S, Fargo, ND 58103.
What is Maronda Robertson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Maronda Robertson's area of specialization is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this field of practice is 101Ya0400X.
On what date did the Centers for Medicare & Medicaid Services assign the 1689862112 to Maronda Robertson?
The Centers for Medicare & Medicaid Services assigned the 1689862112 to Maronda Robertson on 2007-10-10.
As of what date was the information regarding Maronda Robertson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Maronda Robertson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-10-10.