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NPI Code Detail

MEDICARE: K&B COUNSELING SERVICES

MEDICARE: K&B COUNSELING SERVICES
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) Counselor

General Provider Information

NPI Number : 1407622525
Entity Type Code : Organization
Provider Name (Legal Business Name) : K&B COUNSELING SERVICES
Provider Business Mailing Address
First Line : 3675 PECOS MCLEOD STE 1000B
Second Line :
City : LAS VEGAS
State : NV
Zip : 89121-3811
Country : US
Telephone Number : 702-358-7754
Fax Number :
Provider Business Practice Location Address
First Line : 3675 PECOS MCLEOD STE 1000B
Second Line :
City : LAS VEGAS
State : NV
Zip : 89121-3811
Country : US
Telephone Number : 702-358-7754
Fax Number :
Authorized Official
Title or Position : ADMINISTRATOR
Name : KATRO MICHELLE HENDERSON
Credential :
Telephone Number : 702-358-7754
Provider Enumeration Date : 11/29/2023
Last Update Date : 11/29/2023

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Directions to “K&B COUNSELING SERVICES ” Practice Location

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