MRS. GRETA BLANKMAN STROMBERG


Address: 1320 W Gurley St, Prescott, AZ 86305-2854
Phone: 9287762474

MRS. GRETA BLANKMAN STROMBERG (NPI# 1891056461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1891056461
Entity Type Individual
Full Name MRS. GRETA BLANKMAN STROMBERG
Credential MS, LISAC
Practice Address 1320 W Gurley St
Prescott
AZ 86305-2854
Practice Telephone 9287762474
Mailing Telephone 9287762474
Enumeration Date 2012-05-30
Last Update Date 2012-05-30
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
11082 AZ Behavioral Health & Social Service Providers

Office Location

Street Address 1320 W GURLEY ST
City PRESCOTT
State AZ
Zip Code 86305-2854

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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

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1831583269 Renee Podraza Counselor 843 Miller Valley Rd Ste 203, Prescott, AZ 86301-1821 2015-03-24
1013314988 Mary Jo Fleming Counselor 919 12th Place Ste 13, Recovery In The Pines, Prescott, AZ 86301 2014-11-20
1982970034 Henry Dayton Turberville Counselor 214 N. Arizona Ave., Prescott, AZ 86301 2012-03-22
1578885257 Wesley Carl Kitchens Counselor 315 W Goodwin St, Prescott, AZ 86303 2010-02-22
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Competitor

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City PRESCOTT
Zip Code 86305

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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