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General NPI Number Information
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NPI Number | 1811538317
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Entity Type | Individual
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Provider Name | NICOLE MCDONAGH CPC, LCADC, LCADC-S
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Gender | Female
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Dates
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Enumeration Date | 10/05/2019
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Last Update Date | 01/05/2025
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Provider Practice Location Address
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Address Line | 6362 MCLEOD DR STE 6
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City | LAS VEGAS
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State | NV
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Zip | 89120-4433
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Country | US
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Telephone | 702-483-1990
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Fax | 702-831-8812
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Provider Business Mailing Address
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Address Line | 6362 MCLEOD DR STE 6
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City | LAS VEGAS
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State | NV
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Zip | 89120-4433
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Country | US
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Telephone | 702-483-1990
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Fax | 702-831-8812
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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 | 07378-LC
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License Number State | NV
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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 | 07517LCS
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License Number State | NV
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Taxonomy #3
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Taxonomy Code | 374J00000X
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Taxonomy Name | Doula
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License Number | 3215-21
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License Number State | NV
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Taxonomy #4
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | CP5377
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License Number State | NV
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