Jeffrey Randall Wirth in San Bernardino - Mental Health
Jeffrey Randall Wirth - NPI 1447424031
Jeffrey Randall Wirth is a Mental Health in San Bernardino, California. Jeffrey Randall Wirth practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Jeffrey Randall Wirth is 1447424031. The last update date is 2013-12-03.
Jeffrey Randall Wirth's current location address is 6194 Olive Ave, San Bernardino, California. You can contact this provider via phone number 9098042355. The mailing address for Jeffrey Randall Wirth is 6194 Olive Ave, San Bernardino, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey Randall Wirth |
|---|---|
| Address | 6194 Olive Ave, San Bernardino, California |
| Phone Number | 9098042355 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MFT |
NPI Number Detail
| NPI Number | 1447424031 |
|---|---|
| Provider Enumeration Date | 2008-04-15 |
| Last Updated Date | 2013-12-03 |
Provider Mailing Address Detail
| Address | 6194 Olive Ave |
|---|---|
| City | San Bernardino |
| State | California (CA) |
| Post Code | 924072167 |
| Phone Number | 9098042355 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | MFC30166 |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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Post Comment/ Review Below
What is the unique identifier code issued to Jeffrey Randall Wirth by the Centers for Medicare & Medicaid Services (CMS)?
The Jeffrey Randall Wirth has been assigned the NPI (National Provider Identifier) 1447424031. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Jeffrey Randall Wirth is geographically located?
The Jeffrey Randall Wirth is physically situated at the following location: 6194 Olive Ave, San Bernardino, CA, 924072167.
What is Jeffrey Randall Wirth's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jeffrey Randall Wirth's area of specialization is Mental Health, and the corresponding taxonomy code that categorizes this field of practice is 101Ym0800X.
When was the Jeffrey Randall Wirth's 1447424031 issued?
The Jeffrey Randall Wirth's 1447424031 was issued on 2008-04-15.
When was the information pertaining to Jeffrey Randall Wirth most recently updated or revised?
The details related to Jeffrey Randall Wirth, including its address, specialty, and other relevant information, were last updated or revised on 2013-12-03.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY