MEDICARE: MR. CHRISTOPHER L MCNAIR 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	00332-C	NV

General Provider Information

NPI Number	:	1316267867
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. CHRISTOPHER L MCNAIR CADC

Provider Business Mailing Address
First Line	:	10550 W ALEXANDER RD
Second Line	:	UNIT 2082
City	:	LAS VEGAS
State	:	NV
Zip	:	89129-3500
Country	:	US
Telephone Number	:	702-443-2329
Fax Number	:

Provider Business Practice Location Address
First Line	:	3530 E FLAMINGO RD
Second Line	:	SUITE 236
City	:	LAS VEGAS
State	:	NV
Zip	:	89121-5069
Country	:	US
Telephone Number	:	702-443-2329
Fax Number	:

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

Provider Enumeration Date	:	06/07/2010
Last Update Date	:	06/07/2010

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