MEDICARE: JOEL ASOR

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
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1538562194
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOEL ASOR

Provider Business Mailing Address
First Line	:	3305 E ROME BLVD
Second Line	:	APT 1029
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89086-1309
Country	:	US
Telephone Number	:	702-215-1883
Fax Number	:

Provider Business Practice Location Address
First Line	:	3305 E ROME BLVD
Second Line	:	APT 1029
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89086-1309
Country	:	US
Telephone Number	:	702-215-1883
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/26/2014
Last Update Date	:	09/26/2014

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Directions to “ JOEL ASOR ” Practice Location

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