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NPI Code Detail

MEDICARE: CHRISTIAN LAZARTE LMFT, LCADC

MEDICARE: CHRISTIAN LAZARTE LMFT, LCADC
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) CounselorNV
2225400000XRehabilitation Practitioner
3106H00000XMarriage & Family Therapist4541NV

General Provider Information

NPI Number : 1174882484
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTIAN LAZARTE LMFT, LCADC
Provider Business Mailing Address
First Line : 10620 SOUTHERN HIGHLANDS PKWY STE 110
Second Line :
City : LAS VEGAS
State : NV
Zip : 89141-4372
Country : US
Telephone Number : 702-389-7937
Fax Number :
Provider Business Practice Location Address
First Line : 3675 PECOS MCLEOD STE 100
Second Line :
City : LAS VEGAS
State : NV
Zip : 89121-3811
Country : US
Telephone Number : 702-389-7937
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/07/2012
Last Update Date : 04/22/2024

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