MEDICARE: ELIZABETH MARCUSE

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	:	1700281615
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH MARCUSE

Provider Business Mailing Address
First Line	:	3021 W HORIZON RIDGE PKWY
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89052-3990
Country	:	US
Telephone Number	:	702-646-5000
Fax Number	:	702-260-1443

Provider Business Practice Location Address
First Line	:	3021 W HORIZON RIDGE PKWY
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89052-3990
Country	:	US
Telephone Number	:	702-646-5000
Fax Number	:	702-260-1443

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

Provider Enumeration Date	:	11/04/2014
Last Update Date	:	11/04/2014

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Directions to “ ELIZABETH MARCUSE ” Practice Location

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