=====================================================
General NPI Number Information
=====================================================
NPI Number | 1992714083
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | FRANCIE JEAN MARAIS L.C.S.W.
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/07/2006
-----------------------------------------------------
Last Update Date | 07/08/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | LANDSTUHL REGIONAL MEDICAL CENTERS US HOSPITAL
-----------------------------------------------------
City | LANDSTUHL/KIRSHBERG
-----------------------------------------------------
State | LANDSTUHL
-----------------------------------------------------
Zip | 66849
-----------------------------------------------------
Country | DE
-----------------------------------------------------
Telephone | 4906371927131
-----------------------------------------------------
Fax | 61-170-0357
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | CMR 467 BOX 381
-----------------------------------------------------
City | APO
-----------------------------------------------------
State | AE
-----------------------------------------------------
Zip | 09096
-----------------------------------------------------
Country | DE
-----------------------------------------------------
Telephone | 49611379694
-----------------------------------------------------
Fax | 49611700357
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YA0400X
-----------------------------------------------------
Taxonomy Name | Addiction (Substance Use Disorder) Counselor
-----------------------------------------------------
License Number | LCS 13386
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------