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NPI Code Detail

MEDICARE: CHANCES

MEDICARE: CHANCES
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 Counselor

General Provider Information

NPI Number : 1598205635
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHANCES
Provider Business Mailing Address
First Line : 3531 E RUSSELL RD
Second Line : SUITE A
City : LAS VEGAS
State : NV
Zip : 89120-2245
Country : US
Telephone Number : 602-702-7185
Fax Number : 702-478-5266
Provider Business Practice Location Address
First Line : 3531 E RUSSELL RD
Second Line : SUITE A
City : LAS VEGAS
State : NV
Zip : 89120-2245
Country : US
Telephone Number : 602-702-7185
Fax Number : 702-478-5266
Authorized Official
Title or Position : OWNER
Name : MR. JOE CHRISTOPHER BRICE
Credential :
Telephone Number : 602-702-7185
Provider Enumeration Date : 03/07/2017
Last Update Date : 03/07/2017

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Directions to “CHANCES ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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