Jane Dreeben in West Tisbury - Addiction (substance Use Disorder)
Jane Dreeben - NPI 1265500508
Jane Dreeben is a Addiction (substance Use Disorder) in West Tisbury, Massachusetts. Jane Dreeben practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Jane Dreeben is 1265500508. The last update date is 2007-07-08.
Jane Dreeben's current location address is Po Box 516, West Tisbury, Massachusetts. You can contact this provider via phone number 5086935523 and fax number 5086968619. The mailing address for Jane Dreeben is Po Box 516, West Tisbury, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jane Dreeben |
|---|---|
| Address | Po Box 516, West Tisbury, Massachusetts |
| Phone Number | 5086935523 |
| Fax Number | 5086968619 |
| Sole Proprietor | Y |
| Credentials | PH.D., L.A |
NPI Number Detail
| NPI Number | 1265500508 |
|---|---|
| Provider Enumeration Date | 2006-12-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 516 |
|---|---|
| City | West Tisbury |
| State | Massachusetts (MA) |
| Post Code | 25750516 |
| Phone Number | 5086935523 |
| Fax Number | 5086968619 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 103Ta0400X |
| Licence No | 415 |
|
Definition: A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., ga |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| W05885 | MA | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
Where is the Jane Dreeben located?
The Jane Dreeben is located at Po Box 516, West Tisbury, MA 25750516.
Could you please provide the complete physical location address of Jane Dreeben?
The Jane Dreeben is physically situated at Po Box 516, in the city of West Tisbury, state of MA, with the postal code 25750516.
What is the Jane Dreeben's specialty and taxonomy code?
The Jane Dreeben's specialty is Addiction (substance Use Disorder), and the corresponding taxonomy code is 103Ta0400X.
On what date did the Centers for Medicare & Medicaid Services issue the 1265500508 to Jane Dreeben?
The Jane Dreeben received its 1265500508 assignment from the Centers for Medicare & Medicaid Services on 2006-12-04.
When was the Jane Dreeben's information last updated?
The Jane Dreeben's information was last updated on 2007-07-08.