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General NPI Number Information
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NPI Number | 1427451061
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Entity Type | Organization
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Legal Business Name | SOUTHERN NEVADA COUNSELING CENTER, LLC
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Dates
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Enumeration Date | 09/26/2014
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Last Update Date | 07/05/2016
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Provider Practice Location Address
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Address Line | 1440 E CALVADA BLVD STE 900
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City | PAHRUMP
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State | NV
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Zip | 89048-5856
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Country | US
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Telephone | 775-727-4000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1922
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City | PAHRUMP
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State | NV
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Zip | 89041-1922
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Country | US
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Telephone | 775-209-4789
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Fax |
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Authorized Official
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Title or Position | CEO/DIRECTOR
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Name | ALESANDRA NESS
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Credential | QMHA
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Telephone | 775-727-4000
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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 | NV20141609681
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License Number State | NV
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