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NPI Code Detail

MEDICARE: MARIA ADELA KRAUSE

MEDICARE: MARIA ADELA KRAUSE
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) Counselor00651-CNV
2103TA0400XAddiction (Substance Use Disorder) Psychologist06897-IGNV
3103TC2200XClinical Child & Adolescent PsychologistCI3069NV
4101YP2500XProfessional CounselorCP5740NV

General Provider Information

NPI Number : 1205106028
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA ADELA KRAUSE
Provider Business Mailing Address
First Line : 5854 CRUMBLING RIDGE ST
Second Line :
City : HENDERSON
State : NV
Zip : 89011-1640
Country : US
Telephone Number : 702-574-7475
Fax Number :
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 : 702-474-6463
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2012
Last Update Date : 12/10/2024

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Directions to “ MARIA ADELA KRAUSE ” Practice Location

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