Sandra M Vandomelen in Hales Corners - Addiction (substance Use Disorder)
Sandra M Vandomelen - NPI 1225201817
Sandra M Vandomelen is a Addiction (substance Use Disorder) in Hales Corners, Wisconsin. Sandra M Vandomelen practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Sandra M Vandomelen is 1225201817. The last update date is 2008-04-04.
Sandra M Vandomelen's current location address is 9415 W Forest Home Ave, Hales Corners, Wisconsin. You can contact this provider via phone number 4144274884. The mailing address for Sandra M Vandomelen is 9415 W Forest Home Ave, Hales Corners, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sandra M Vandomelen |
|---|---|
| Address | 9415 W Forest Home Ave, Hales Corners, Wisconsin |
| Phone Number | 4144274884 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | SAC-IT |
NPI Number Detail
| NPI Number | 1225201817 |
|---|---|
| Provider Enumeration Date | 2008-04-04 |
| Last Updated Date | 2008-04-04 |
Provider Mailing Address Detail
| Address | 9415 W Forest Home Ave |
|---|---|
| City | Hales Corners |
| State | Wisconsin (WI) |
| Post Code | 531301680 |
| Phone Number | 4144274884 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 15463-130 |
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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 Sandra M Vandomelen?
The Sandra M Vandomelen has been issued the NPI (National Provider Identifier) 1225201817 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Sandra M Vandomelen is physically located?
The Sandra M Vandomelen is situated at the following address: 9415 W Forest Home Ave, Hales Corners, WI 531301680.
What is the Sandra M Vandomelen's specialty and taxonomy code?
The Sandra M Vandomelen's specialty is Addiction (substance Use Disorder), and the corresponding taxonomy code is 101Ya0400X.
On what date did the Centers for Medicare & Medicaid Services assign the 1225201817 to Sandra M Vandomelen?
The Centers for Medicare & Medicaid Services assigned the 1225201817 to Sandra M Vandomelen on 2008-04-04.
When was the Sandra M Vandomelen's information last updated?
The Sandra M Vandomelen's information was last updated on 2008-04-04.
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