Doctor Name: | MAXINE SUZANNE DAY |
NPI Number: | 1417140518 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA QMHP |
License Number: | |
Business Practice Address: | 528 E Main Suite W John Day, OR - 97845 |
Business Phone Number: | 5415751466 |
Business Fax Number: | 5415751411 |
Mailing Address: | 528 E Main, Suite W JOHN DAY |
State: | OR |
Postal Code: | 97845 |
Phone Number: | 5415751466 |
Fax Number: | 5415751411 |
NPI Enumeration Date: | 08/22/2007 |
NPI Last Update Date: | 08/22/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OR |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |