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NPI Code Detail

MEDICARE: DAVID KANOZA M.A

MEDICARE:   DAVID  KANOZA  M.A
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor208165PA
2101YM0800XMental Health CounselorCP0090NV

General Provider Information

NPI Number : 1306999487
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID KANOZA M.A
Provider Business Mailing Address
First Line : 500 E WARM SPRINGS RD STE 100
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-4345
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1901 S JONES BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89146-1260
Country : US
Telephone Number : 702-486-2726
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2007
Last Update Date : 09/18/2025

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Directions to “ DAVID KANOZA M.A” Practice Location

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