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General NPI Number Information
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NPI Number | 1538425095
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Entity Type | Individual
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Provider Name | GEMMA ANDAYA MS, NCC, LCADC, LCPC
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Gender | Female
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Dates
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Enumeration Date | 04/09/2012
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Last Update Date | 04/04/2019
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Provider Practice Location Address
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Address Line | 8879 W FLAMINGO RD STE 101
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City | LAS VEGAS
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State | NV
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Zip | 89147
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Country | US
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Telephone | 725-333-2643
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Fax | 702-952-5417
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Provider Business Mailing Address
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Address Line | 8879 W FLAMINGO RD STE 101
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City | LAS VEGAS
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State | NV
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Zip | 89147
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Country | US
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Telephone | 725-333-2643
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Fax | 702-952-5417
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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 | 00448-LC
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 0048-LC
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License Number State | NV
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Taxonomy #3
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | CI0317
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License Number State | NV
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