Clement Crazy Thunder JR. CADC II

  • NPI 1497040828
According to our database, the NPI number for Clement Crazy Thunder JR. CADC II is 1497040828 and activated since 12 years ago. Clement Crazy Thunder JR. CADC II is an individual provider who specializes in Addiction (Substance Use Disorder), and the primary practice location is 541 S Ham Ln Ste A&b, Lodi, CA 95242. You can also contact Clement Crazy Thunder JR. CADC II via telephone number is (209) 224-8940. Provider NPI information was last updated on 03/10/2021.

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Overview of Clement Crazy Thunder JR. CADC II

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 06/14/2011
  • Last updated: 03/10/2021

Primary Scrop of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: 862
  • License State: NE

Provider Mailing Address

  • Address: 541 S Ham Ln Ste A&b
    Lodi, CA 95242
  • Phone: 209-224-8940
  • Fax: 209-224-5076

Provider Practice Location

  • Address: 541 S Ham Ln Ste A&b
    Lodi, CA 95242
  • Phone: 209-224-8940
  • Fax: 209-224-5076

Scope of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: 862
  • License State: NE
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Clement Crazy Thunder JR. CADC II?
  • A: The npi number for Clement Crazy Thunder JR. CADC II is 1497040828.
  • Q: What are Clement Crazy Thunder JR. CADC II's specialties?
  • A: Clement Crazy Thunder JR. CADC II's specialties are Addiction (Substance Use Disorder) and different specialities.
  • Q: What is the medical license for Clement Crazy Thunder JR. CADC II?
  • A: The medical license number for Clement Crazy Thunder JR. CADC II is 862 and issued in NE in USA.
  • Q: Where is Clement Crazy Thunder JR. CADC II practice location?
  • A: Clement Crazy Thunder JR. CADC II is practicing at 541 S Ham Ln Ste A&b, Lodi, CA 95242.
  • Q: How to contact Clement Crazy Thunder JR. CADC II?
  • A: You can contact Clement Crazy Thunder JR. CADC II via 209-224-8940.
Medicare Specialty
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