MEDICARE: FRANK KARR LADC

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
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	L741	NV

General Provider Information

NPI Number	:	1093734824
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANK KARR LADC

Provider Business Mailing Address
First Line	:	1201 N DECATUR BLVD
Second Line	:	SUITE 111A
City	:	LAS VEGAS
State	:	NV
Zip	:	89108-1222
Country	:	US
Telephone Number	:	702-648-2945
Fax Number	:	702-836-0861

Provider Business Practice Location Address
First Line	:	1201 N DECATUR BLVD
Second Line	:	SUITE 111A
City	:	LAS VEGAS
State	:	NV
Zip	:	89108-1222
Country	:	US
Telephone Number	:	702-648-2945
Fax Number	:	702-836-0861

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/19/2006
Last Update Date	:	07/08/2007

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