Jake D Thiessen in Camp Hill - Marriage & Family Therapist
Jake D Thiessen - NPI 1023099264
Jake D Thiessen is a Marriage & Family Therapist in Camp Hill, Pennsylvania. Jake D Thiessen practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Jake D Thiessen is 1023099264. The last update date is 2007-07-08.
Jake D Thiessen's current location address is 105 Yellow Breeches Dr, Camp Hill, Pennsylvania. You can contact this provider via phone number 7177300733 and fax number 7177300696. The mailing address for Jake D Thiessen is 105 Yellow Breeches Dr, Camp Hill, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jake D Thiessen |
|---|---|
| Address | 105 Yellow Breeches Dr, Camp Hill, Pennsylvania |
| Phone Number | 7177300733 |
| Fax Number | 7177300696 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1023099264 |
|---|---|
| Provider Enumeration Date | 2005-11-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 105 Yellow Breeches Dr |
|---|---|
| City | Camp Hill |
| State | Pennsylvania (PA) |
| Post Code | 170118351 |
| Phone Number | 7177300733 |
| Fax Number | 7177300696 |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | 107 |
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Definition: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives |
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What is the unique identifier code issued to Jake D Thiessen by the Centers for Medicare & Medicaid Services (CMS)?
The Jake D Thiessen has been assigned the NPI (National Provider Identifier) 1023099264. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Jake D Thiessen located?
The Jake D Thiessen is located at 105 Yellow Breeches Dr, Camp Hill, PA 170118351.
What is the Jake D Thiessen's specialty and taxonomy code?
The Jake D Thiessen's specialty is Marriage & Family Therapist, and the corresponding taxonomy code is 106H00000X.
When was the Jake D Thiessen's 1023099264 issued?
The Jake D Thiessen's 1023099264 was issued on 2005-11-05.
On what date did the Centers for Medicare & Medicaid Services issue the 1023099264 to Jake D Thiessen?
The Jake D Thiessen received its 1023099264 assignment from the Centers for Medicare & Medicaid Services on 2005-11-05.