Jennifer M Wakeman in Vancouver - Addiction (substance Use Disorder)
Jennifer M Wakeman - NPI 1629130299
Jennifer M Wakeman is a Addiction (substance Use Disorder) in Vancouver, Washington. Jennifer M Wakeman practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Jennifer M Wakeman is 1629130299. The last update date is 2021-12-21.
Jennifer M Wakeman's current location address is 12607 Se Mill Plain Blvd, Vancouver, Washington. You can contact this provider via phone number 3608964460 and fax number 3608964478. The mailing address for Jennifer M Wakeman is 12607 Se Mill Plain Blvd, Vancouver, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer M Wakeman |
|---|---|
| Address | 12607 Se Mill Plain Blvd, Vancouver, Washington |
| Phone Number | 3608964460 |
| Fax Number | 3608964478 |
| Sole Proprietor | N |
| Credentials | NCC, LMHC, |
NPI Number Detail
| NPI Number | 1629130299 |
|---|---|
| Provider Enumeration Date | 2006-12-13 |
| Last Updated Date | 2021-12-21 |
Provider Mailing Address Detail
| Address | 12607 Se Mill Plain Blvd |
|---|---|
| City | Vancouver |
| State | Washington (WA) |
| Post Code | 986846055 |
| Phone Number | 3608964460 |
| Fax Number | 3608964478 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | CP00006159 |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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What is the unique provider identifier assigned to Jennifer M Wakeman?
The Jennifer M Wakeman has been issued the NPI (National Provider Identifier) 1629130299 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Jennifer M Wakeman is physically located?
The Jennifer M Wakeman is physically situated at the following address: 12607 Se Mill Plain Blvd, Vancouver, WA, 986846055.
What is Jennifer M Wakeman's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jennifer M Wakeman is Addiction (substance Use Disorder), and the taxonomy code that categorizes this field of expertise is 101Ya0400X.
On what date did the Centers for Medicare & Medicaid Services issue the 1629130299 to Jennifer M Wakeman?
The Jennifer M Wakeman received its 1629130299 assignment from the Centers for Medicare & Medicaid Services on 2006-12-13.
As of what date were the details related to Jennifer M Wakeman most recently updated or revised?
The information pertaining to Jennifer M Wakeman, including its address, specialty, and other relevant details, was last updated or revised on 2021-12-21.
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