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NPI 1386784015

NPI 1386784015 : AMERICAN COMPREHENSIVE COUNSELING SERVICES : SPARKS, NV

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General NPI Number Information
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    NPI Number           |    1386784015
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    Entity Type          |    Organization 
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    Legal Business Name  |    AMERICAN COMPREHENSIVE COUNSELING SERVICES 
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Dates
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    Enumeration Date     |    02/08/2007
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    738 PRATER WAY 
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    City                 |    SPARKS
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    State                |    NV
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    Zip                  |    89431-4466
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    Country              |    US
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    Telephone            |    775-356-0371
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    738 PRATER WAY 
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    City                 |    SPARKS
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    State                |    NV
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    Zip                  |    89431-4466
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    Country              |    US
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    Telephone            |    775-356-0371
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER-DIRECTOR
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    Name                 |    MR. WALTER  DIMITROFF 
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    Credential           |    M.A., MFT
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    Telephone            |    775-356-0371
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101Y00000X
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    Taxonomy Name        |    Counselor
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    License Number       |    
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    License Number State |    
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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       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    104100000X
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    Taxonomy Name        |    Social Worker
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    License Number       |    
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    License Number State |    
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