Jordan Charboneau in Milwaukee - Addiction (substance Use Disorder)
Jordan Charboneau - NPI 1720263577
Jordan Charboneau is a Addiction (substance Use Disorder) in Milwaukee, Wisconsin. Jordan Charboneau practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Jordan Charboneau is 1720263577. The last update date is 2010-01-06.
Jordan Charboneau's current location address is 561 N 15th St, Milwaukee, Wisconsin. You can contact this provider via phone number 4142885889. The mailing address for Jordan Charboneau is 561 N 15th St, Milwaukee, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jordan Charboneau |
|---|---|
| Address | 561 N 15th St, Milwaukee, Wisconsin |
| Phone Number | 4142885889 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1720263577 |
|---|---|
| Provider Enumeration Date | 2007-12-28 |
| Last Updated Date | 2010-01-06 |
Provider Mailing Address Detail
| Address | 561 N 15th St |
|---|---|
| City | Milwaukee |
| State | Wisconsin (WI) |
| Post Code | 532332237 |
| Phone Number | 4142885889 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Jordan Charboneau?
The Jordan Charboneau has been issued the NPI (National Provider Identifier) 1720263577 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Jordan Charboneau's facilities are situated?
The facilities of Jordan Charboneau are physically located at the following address: 561 N 15Th St, Milwaukee, WI, 532332237.
What is the Jordan Charboneau's specialty and taxonomy code?
The Jordan Charboneau's specialty is Addiction (substance Use Disorder), and the corresponding taxonomy code is 101Ya0400X.
On what date did the Jordan Charboneau receive the assignment of its 1720263577 from the Centers for Medicare & Medicaid Services?
The Jordan Charboneau was issued its 1720263577 by the Centers for Medicare & Medicaid Services on 2007-12-28.
When was the Jordan Charboneau's information last updated?
The Jordan Charboneau's information was last updated on 2010-01-06.