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 |
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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 |
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Provider Enumeration Date | 2008-08-19 |
Last Updated Date | 2016-03-16 |
Provider Mailing Address Detail
Address | 903 Mineral Point Ave |
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City | Janesville |
State | Wisconsin (WI) |
Post Code | 535482970 |
Phone Number | 6087565555 |
Fax Number | 6087560174 |
Provider's Primary Taxonomy Detail
Speciality | Addiction (substance Use Disorder) |
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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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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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