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General NPI Number Information
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NPI Number | 1194090985
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Entity Type | Individual
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Provider Name | JAMES EDWARD MONAGHAN III LPC, LAC, CPC, LCADC
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Gender | Male
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Dates
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Enumeration Date | 03/13/2012
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Last Update Date | 06/04/2017
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Provider Practice Location Address
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Address Line | 6228 DESERT HAVEN RD
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City | LAS VEGAS
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State | NV
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Zip | 89130-3706
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Country | US
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Telephone | 702-389-0024
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Fax |
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Provider Business Mailing Address
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Address Line | 6228 DESERT HAVEN RD
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City | LAS VEGAS
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State | NV
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Zip | 89130-3706
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Country | US
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Telephone | 702-389-0024
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | ACD #226
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 0390-LC
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License Number State | NV
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC #6108
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License Number State | CO
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Taxonomy #4
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LP0109
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License Number State | NV
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