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NPI Code Detail

MEDICARE: JOSHUA DEWITT

MEDICARE: JOSHUA DEWITT
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) Counselor08147-INV

General Provider Information

NPI Number : 1174491435
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSHUA DEWITT
Provider Business Mailing Address
First Line : 8850 ECHELON POINT DR UNIT 3022
Second Line :
City : LAS VEGAS
State : NV
Zip : 89149-4897
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2740 S JONES BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89146-5398
Country : US
Telephone Number : 702-248-8866
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/28/2025
Last Update Date : 10/28/2025

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Directions to “ JOSHUA DEWITT ” Practice Location

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