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NPI Code Detail

MEDICARE: MR. DANIEL PAUL FICALORA MA

MEDICARE: MR. DANIEL PAUL FICALORA MA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor0044I-LCNV
2101YP2500XProfessional CounselorCP0106NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1063719813
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DANIEL PAUL FICALORA MA
Provider Business Mailing Address
First Line : 1640 ALTA DR STE 4
Second Line :
City : LAS VEGAS
State : NV
Zip : 89106-4165
Country : US
Telephone Number : 702-474-6450
Fax Number : 702-474-6563
Provider Business Practice Location Address
First Line : 4221 MCLEOD DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89121-5215
Country : US
Telephone Number : 702-474-6450
Fax Number : 702-474-6450
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2011
Last Update Date : 05/16/2025

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