Bonita Marie Jackson-Vergara in Chesapeake - Addiction (substance Use Disorder)
Bonita Marie Jackson-Vergara - NPI 1316967334
Bonita Marie Jackson-Vergara is a Addiction (substance Use Disorder) in Chesapeake, Virginia. Bonita Marie Jackson-Vergara practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Bonita Marie Jackson-Vergara is 1316967334. The last update date is 2021-10-13.
Bonita Marie Jackson-Vergara's current location address is 800 Fox Ridge Trl, Chesapeake, Virginia. You can contact this provider via phone number 7048049614 and fax number 7573129580. The mailing address for Bonita Marie Jackson-Vergara is 800 Fox Ridge Trl, Chesapeake, Virginia. To know further, please read the information below!
Provider Profile Detail
Provider Name | Bonita Marie Jackson-Vergara |
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Address | 800 Fox Ridge Trl, Chesapeake, Virginia |
Phone Number | 7048049614 |
Fax Number | 7573129580 |
Sole Proprietor | Y |
Credentials | LICENSED C |
NPI Number Detail
NPI Number | 1316967334 |
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Provider Enumeration Date | 2006-07-20 |
Last Updated Date | 2021-10-13 |
Provider Mailing Address Detail
Address | 800 Fox Ridge Trl |
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City | Chesapeake |
State | Virginia (VA) |
Post Code | 233226506 |
Phone Number | 7048049614 |
Fax Number | 7573129580 |
Provider's Primary Taxonomy Detail
Speciality | Addiction (substance Use Disorder) |
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Taxonomy | 101Ya0400X |
Licence No | 718000386 |
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 |
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6103317 | NC | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Bonita Marie Jackson-Vergara by the Centers for Medicare & Medicaid Services?
The Bonita Marie Jackson-Vergara has been assigned the NPI (National Provider Identifier) 1316967334. 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 address where Bonita Marie Jackson-Vergara is geographically located?
The Bonita Marie Jackson-Vergara is physically situated at the following location: 800 Fox Ridge Trl, Chesapeake, VA, 233226506.
What is the area of specialization for Bonita Marie Jackson-Vergara, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Bonita Marie Jackson-Vergara is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this area of expertise is 101Ya0400X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1316967334 to Bonita Marie Jackson-Vergara?
The Centers for Medicare & Medicaid Services originally issued the 1316967334 to Bonita Marie Jackson-Vergara on 2006-07-20.
As of what date were the details related to Bonita Marie Jackson-Vergara most recently updated or revised?
The information pertaining to Bonita Marie Jackson-Vergara, including its address, specialty, and other relevant details, was last updated or revised on 2021-10-13.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY