is a Addiction (substance Use Disorder) in Henderson, Nevada. practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for is 1700096658. The last update date is .
's current location address is 220 E Horizon Dr, Henderson, Nevada. You can contact this provider via phone number 7025685888 and fax number 7025687554. The mailing address for is 220 E Horizon Dr, Henderson, Nevada. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 220 E Horizon Dr, Henderson, Nevada |
| Phone Number | 7025685888 |
| Fax Number | 7025687554 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1700096658 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 220 E Horizon Dr |
|---|---|
| City | Henderson |
| State | Nevada (NV) |
| Post Code | 890158035 |
| Phone Number | 7025685888 |
| Fax Number | 7025687554 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 1144L |
|
Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1072 | NV | MARRIAGE AND FAMILY THERAPY | |
| R03320 | NV | MARIAGE FAMILY THERAPY-I | |
| 1144L | NV | LICENSED ALCOHOL AND DRUG |
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