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235 N Eastern Ave Ste 102 Las Vegas NV 89101-4544 | |
| (702) 333-1054 | |
| (702) 608-7752 |
| Full Name | |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 235 N Eastern Ave Ste 102, Las Vegas, Nevada |
| Authorized Official Name and Position | Criag Duerson (ADMINISTRATOR) |
| Authorized Official Contact | 7028206186 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
6935 Aliante Pkwy Ste 104-421 North Las Vegas NV 89084-5818 Ph: (702) 333-1054 | 235 N Eastern Ave Ste 102 Las Vegas NV 89101-4544 Ph: (702) 333-1054 |
| NPI Number | 1215607601 |
|---|---|
| Provider Enumeration Date | 09/16/2021 |
| Last Update Date | 01/27/2025 |
| Certification Date | 01/27/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215607601 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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