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General NPI Number Information
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NPI Number | 1316564800
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Entity Type | Individual
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Provider Name | MEGAN MARIE WALSH BA, CADC
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Gender | Female
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Dates
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Enumeration Date | 06/30/2020
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Last Update Date | 08/06/2024
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Provider Practice Location Address
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Address Line | 9498 DOUBLE R BLVD STE A
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City | RENO
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State | NV
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Zip | 89521-2905
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Country | US
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Telephone | 775-964-4898
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Fax | 866-356-7299
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Provider Business Mailing Address
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Address Line | 9498 DOUBLE R BLVD STE A
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City | RENO
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State | NV
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Zip | 89521-2905
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Country | US
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Telephone | 775-964-4898
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Fax | 866-356-7299
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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 | 07417-C
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License Number State | NV
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