MEDICARE: MRS. ALLISON MARIE ASCANI CADC

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	101YA0400X	Addiction (Substance Use Disorder) Counselor	07788-C	NV
2	101YA0400X	Addiction (Substance Use Disorder) Counselor	07883-S	NV

General Provider Information

NPI Number	:	1538919063
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ALLISON MARIE ASCANI CADC

Provider Business Mailing Address
First Line	:	9278 PEMBROOK FALLS AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-4928
Country	:	US
Telephone Number	:	760-636-3038
Fax Number	:

Provider Business Practice Location Address
First Line	:	7536 MOUNT SPOKANE CT
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89113-5376
Country	:	US
Telephone Number	:	702-672-8037
Fax Number	:

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

Provider Enumeration Date	:	03/26/2024
Last Update Date	:	12/19/2024

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