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NPI Code Detail

MEDICARE: CARLOS JULIAN

MEDICARE: CARLOS JULIAN
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
1101YA0400XAddiction (Substance Use Disorder) Counselor08135-INV

General Provider Information

NPI Number : 1659219228
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARLOS JULIAN
Provider Business Mailing Address
First Line : 1536 N BOULDER HWY
Second Line :
City : HENDERSON
State : NV
Zip : 89011-4120
Country : US
Telephone Number : 702-466-4681
Fax Number :
Provider Business Practice Location Address
First Line : 1536 N BOULDER HWY
Second Line :
City : HENDERSON
State : NV
Zip : 89011-4120
Country : US
Telephone Number : 702-466-4681
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2026
Last Update Date : 03/24/2026

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Directions to “ CARLOS JULIAN ” Practice Location

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