Jeremy Clark Van Wert in Roseville - Marriage & Family Therapist
Jeremy Clark Van Wert - NPI 1891956561
Jeremy Clark Van Wert is a Marriage & Family Therapist in Roseville, California. Jeremy Clark Van Wert practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Jeremy Clark Van Wert is 1891956561. The last update date is 2008-06-24.
Jeremy Clark Van Wert's current location address is 1451 Zinnia Way, Roseville, California. You can contact this provider via phone number 9165217318. The mailing address for Jeremy Clark Van Wert is 1451 Zinnia Way, Roseville, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeremy Clark Van Wert |
|---|---|
| Address | 1451 Zinnia Way, Roseville, California |
| Phone Number | 9165217318 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.S. MFTI |
NPI Number Detail
| NPI Number | 1891956561 |
|---|---|
| Provider Enumeration Date | 2008-06-24 |
| Last Updated Date | 2008-06-24 |
Provider Mailing Address Detail
| Address | 1451 Zinnia Way |
|---|---|
| City | Roseville |
| State | California (CA) |
| Post Code | 957476760 |
| Phone Number | 9165217318 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
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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 provider identifier assigned to Jeremy Clark Van Wert?
The Jeremy Clark Van Wert has been issued the NPI (National Provider Identifier) 1891956561 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Jeremy Clark Van Wert's physical address?
The Jeremy Clark Van Wert is physically located at 1451 Zinnia Way, in the city of Roseville, CA, with the postal code 957476760.
What is Jeremy Clark Van Wert's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jeremy Clark Van Wert is Marriage & Family Therapist, and the taxonomy classification code that categorizes this area of expertise is 106H00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1891956561 to Jeremy Clark Van Wert?
The Jeremy Clark Van Wert received its 1891956561 assignment from the Centers for Medicare & Medicaid Services on 2008-06-24.
As of what date were the details related to Jeremy Clark Van Wert most recently updated or revised?
The information pertaining to Jeremy Clark Van Wert, including its address, specialty, and other relevant details, was last updated or revised on 2008-06-24.