NPI 1093851107 VIRGINIA BERUBE LAC GLENDIVE MT. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Virginia Berube - NPI: 1093851107

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: VIRGINIA BERUBE
NPI Number: 1093851107
Entity Type Code: Individual (1)
Gender: F
Credentials: LAC
License Number: 1077
Business Practice Address: 119 S Kendrick Ave
Glendive, MT - 593301626
Business Phone Number: 4063775942
Business Fax Number: 4063773050
Mailing Address: 119 S Kendrick Ave,
GLENDIVE
State: MT
Postal Code: 593301626
Phone Number: 4063775942
Fax Number: 4063773050
NPI Enumeration Date: 01/29/2007
NPI Last Update Date: 07/08/2007
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 101YA0400X
License Number: 1077
Healthcare Provider Taxonomy:
(Secondary)
Y
State: MT
Taxonomy Type: Behavioral Health & Social Service Providers
Taxonomy Classification: Counselor
Taxonomy Specialization: Addiction (Substance Use Disorder)
Taxonomy Definition:


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