Lisa Kelso in Boulder City - Addiction (substance Use Disorder)
Lisa Kelso - NPI 1811103955
Lisa Kelso is a Addiction (substance Use Disorder) in Boulder City, Nevada. Lisa Kelso practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Lisa Kelso is 1811103955. The last update date is 2007-07-08.
Lisa Kelso's current location address is 1434 Bronco Rd, Boulder City, Nevada. You can contact this provider via phone number 7025216248. The mailing address for Lisa Kelso is 1434 Bronco Rd, Boulder City, Nevada. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa Kelso |
|---|---|
| Address | 1434 Bronco Rd, Boulder City, Nevada |
| Phone Number | 7025216248 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MS, MFT, L |
NPI Number Detail
| NPI Number | 1811103955 |
|---|---|
| Provider Enumeration Date | 2007-05-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1434 Bronco Rd |
|---|---|
| City | Boulder City |
| State | Nevada (NV) |
| Post Code | 890053104 |
| Phone Number | 7025216248 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 01143-L |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Lisa Kelso?
The Lisa Kelso has been issued the NPI (National Provider Identifier) 1811103955 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Lisa Kelso is physically located?
The Lisa Kelso is physically situated at the following address: 1434 Bronco Rd, Boulder City, NV, 890053104.
What is Lisa Kelso's specialized field of practice, and what is the corresponding taxonomy classification code?
The Lisa Kelso's area of specialization is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this field of practice is 101Ya0400X.
On what date did the Lisa Kelso receive the assignment of its 1811103955 from the Centers for Medicare & Medicaid Services?
The Lisa Kelso was issued its 1811103955 by the Centers for Medicare & Medicaid Services on 2007-05-15.
When was the information regarding Lisa Kelso most recently updated?
The details pertaining to the Lisa Kelso, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.