Mavis H. Vaillancourt in Libby - Clinical
Mavis H. Vaillancourt - NPI 1134139058
Mavis H. Vaillancourt is a Clinical in Libby, Montana. Mavis H. Vaillancourt practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mavis H. Vaillancourt is 1134139058. The last update date is 2016-08-12.
Mavis H. Vaillancourt's current location address is 415 Louisiana Ave, Libby, Montana. You can contact this provider via phone number 4065468507. The mailing address for Mavis H. Vaillancourt is 415 Louisiana Ave, Libby, Montana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mavis H. Vaillancourt |
|---|---|
| Address | 415 Louisiana Ave, Libby, Montana |
| Phone Number | 4065468507 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW, LAC |
NPI Number Detail
| NPI Number | 1134139058 |
|---|---|
| Provider Enumeration Date | 2006-08-09 |
| Last Updated Date | 2016-08-12 |
Provider Mailing Address Detail
| Address | 415 Louisiana Ave |
|---|---|
| City | Libby |
| State | Montana (MT) |
| Post Code | 599232131 |
| Phone Number | 4065468507 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 912 |
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What is the unique identifier code issued to Mavis H. Vaillancourt by the Centers for Medicare & Medicaid Services (CMS)?
The Mavis H. Vaillancourt has been assigned the NPI (National Provider Identifier) 1134139058. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Mavis H. Vaillancourt?
The Mavis H. Vaillancourt is situated at 415 Louisiana Ave, in the city of Libby, state of MT, with the zip code 599232131.
What is Mavis H. Vaillancourt's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mavis H. Vaillancourt's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
When was the Mavis H. Vaillancourt's 1134139058 issued?
The Mavis H. Vaillancourt's 1134139058 was issued on 2006-08-09.
As of what date were the details pertaining to Mavis H. Vaillancourt last refreshed?
The information related to the Mavis H. Vaillancourt, including its address, specialty, and other relevant details, was last updated on 2016-08-12.