Jaclyn A Hebert in Janesville - Addiction (substance Use Disorder)

Jaclyn A Hebert - NPI 1306093539

Jaclyn A Hebert is a Addiction (substance Use Disorder) in Janesville, Wisconsin. Jaclyn A Hebert practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Jaclyn A Hebert is 1306093539. The last update date is 2016-03-16.

Jaclyn A Hebert's current location address is 903 Mineral Point Ave, Janesville, Wisconsin. You can contact this provider via phone number 6087565555 and fax number 6087560174. The mailing address for Jaclyn A Hebert is 903 Mineral Point Ave, Janesville, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Jaclyn A Hebert
Address 903 Mineral Point Ave, Janesville, Wisconsin
Phone Number 6087565555
Fax Number 6087560174
Sole Proprietor N
Credentials LPC, CSAC

NPI Number Detail

NPI Number 1306093539
Provider Enumeration Date 2008-08-19
Last Updated Date 2016-03-16

Provider Mailing Address Detail

Address 903 Mineral Point Ave
City Janesville
State Wisconsin (WI)
Post Code 535482970
Phone Number 6087565555
Fax Number 6087560174

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No 14731-130
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
42028500 WI --
1306093539 WI --
HEBERJAC WI MERCYCARE INSURANCE

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FAQs about Jaclyn A Hebert

What is the unique identifier code issued to Jaclyn A Hebert by the Centers for Medicare & Medicaid Services?

The Jaclyn A Hebert has been assigned the NPI (National Provider Identifier) 1306093539. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Where is the Jaclyn A Hebert located?

The Jaclyn A Hebert is located at 903 Mineral Point Ave, Janesville, WI 535482970.

What is the Jaclyn A Hebert's area of specialization and corresponding taxonomy classification?

The Jaclyn A Hebert's specialty field is Addiction (substance Use Disorder), and it falls under the taxonomy code 101Ya0400X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services issue the 1306093539 to Jaclyn A Hebert?

The Jaclyn A Hebert received its 1306093539 assignment from the Centers for Medicare & Medicaid Services on 2008-08-19.

As of what date were the Jaclyn A Hebert's details last updated?

The information pertaining to the Jaclyn A Hebert, including its address, specialty, and other details, was most recently updated on 2016-03-16.

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