Jacquelyn Ellen Bode in Rutland - Addiction (substance Use Disorder)
Jacquelyn Ellen Bode - NPI 1780782375
Jacquelyn Ellen Bode is a Addiction (substance Use Disorder) in Rutland, Vermont. Jacquelyn Ellen Bode practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Jacquelyn Ellen Bode is 1780782375. The last update date is 2007-07-09.
Jacquelyn Ellen Bode's current location address is 73 Center St, Rutland, Vermont. You can contact this provider via phone number 8027473488 and fax number 8027470006. The mailing address for Jacquelyn Ellen Bode is 73 Center St, Rutland, Vermont. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacquelyn Ellen Bode |
|---|---|
| Address | 73 Center St, Rutland, Vermont |
| Phone Number | 8027473488 |
| Fax Number | 8027470006 |
| Sole Proprietor | N |
| Credentials | M.ED. |
NPI Number Detail
| NPI Number | 1780782375 |
|---|---|
| Provider Enumeration Date | 2006-09-20 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 73 Center St |
|---|---|
| City | Rutland |
| State | Vermont (VT) |
| Post Code | 57014046 |
| Phone Number | 8027473488 |
| Fax Number | 8027470006 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 291 |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2611 | VT | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Jacquelyn Ellen Bode by the Centers for Medicare & Medicaid Services?
The Jacquelyn Ellen Bode has been assigned the NPI (National Provider Identifier) 1780782375. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Jacquelyn Ellen Bode's facilities are situated?
The facilities of Jacquelyn Ellen Bode are physically located at the following address: 73 Center St, Rutland, VT, 57014046.
What is Jacquelyn Ellen Bode's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jacquelyn Ellen Bode is Addiction (substance Use Disorder), and the taxonomy code that categorizes this field of expertise is 101Ya0400X.
When did Jacquelyn Ellen Bode receive its 1780782375 assignment?
The Jacquelyn Ellen Bode was assigned its 1780782375 on 2006-09-20, which is the date when this unique identifier was issued to the organization.
When was the information regarding Jacquelyn Ellen Bode, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jacquelyn Ellen Bode, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-09.