MEDICARE: STEVEN ZEITLIN

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

General Provider Information

NPI Number	:	1427248624
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVEN ZEITLIN

Provider Business Mailing Address
First Line	:	1325 S COMMERCE ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-2530
Country	:	US
Telephone Number	:	702-383-9890
Fax Number	:	702-383-0748

Provider Business Practice Location Address
First Line	:	1325 S COMMERCE ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-2530
Country	:	US
Telephone Number	:	702-383-9890
Fax Number	:	702-383-0748

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

Provider Enumeration Date	:	07/25/2007
Last Update Date	:	07/25/2007

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Directions to “ STEVEN ZEITLIN ” Practice Location

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