MRS. GLORIA JEAN MANADIER-FARR CSAC NPI 1801032156

NPI Information

NPI: 1801032156
Provider Name: MRS. GLORIA JEAN MANADIER-FARR, CSAC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
1502 GREENWAY CROSS STE 101B
MADISON, WI
ZIP 53713
Phone: (608) 237-6317
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MRS. Gloria Jean Manadier-farr, CSAC is an addiction (substance use disorder) counselor in Madison, WI. MRS. Gloria Jean Manadier-farr, CSAC NPI is 1801032156. 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:

1502 GREENWAY CROSS STE 101B
MADISON, WI
ZIP 53713-023
Phone: (608) 237-6317
Fax: (877) 822-7631

The enumeration date for this NPI number is 12/16/2008 and was last updated on 12/16/2008.

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	101Y00000X	Counselor		14351-132	WISCONSIN	No
2	101YM0800X	Counselor	Mental Health	14351-132	WISCONSIN	No
3	101YA0400X	Counselor	Addiction (Substance Use Disorder)	14351-132	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	12809-133	OTHER	WISCONSIN	STATE OF WISCONSIN DEPARTMENT OF REGUALTION AND LICENSING
2	14351-132	OTHER	WISCONSIN	STATE OF WISCONSIN DEPARTMENT OF REGUALTION AND LICENSING

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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