CHARLEEN FITZGERALD NPI 1578965182

NPI Information

NPI: 1578965182
Provider Name: CHARLEEN FITZGERALD
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
12812 101ST AVENUE CT E
PUYALLUP, WA
ZIP 98373
Phone: (253) 864-4770
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Charleen Fitzgerald is an addiction (substance use disorder) counselor in Puyallup, WA. Charleen Fitzgerald NPI is 1578965182. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

12812 101ST AVENUE CT E
PUYALLUP, WA
ZIP 98373-101
Phone: (253) 864-4770
Fax: (253) 864-4771

The enumeration date for this NPI number is 9/25/2014 and was last updated on 9/25/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	CP 00004295	WASHINGTON	Yes
2	101YM0800X	Counselor	Mental Health	MC60323125	WASHINGTON	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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