MEDICARE: ALICIA BELCHER CADC

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	00307-C	NV

General Provider Information

NPI Number	:	1124412622
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALICIA BELCHER CADC

Provider Business Mailing Address
First Line	:	3376 S EASTERN AVE STE 148
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89169-3367
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3376 S EASTERN AVE STE 148
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89169-3367
Country	:	US
Telephone Number	:	702-538-7412
Fax Number	:

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

Provider Enumeration Date	:	03/23/2015
Last Update Date	:	03/25/2015

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