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NPI Code Detail

MEDICARE: KATERI KATE DANCY

MEDICARE:   KATERI KATE DANCY
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 : 1467941294
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATERI KATE DANCY
Provider Business Mailing Address
First Line : 3650 S POINTE CIR STE 109
Second Line :
City : LAUGHLIN
State : NV
Zip : 89029-0422
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3650 S POINTE CIR STE 109
Second Line :
City : LAUGHLIN
State : NV
Zip : 89029-0422
Country : US
Telephone Number : 702-299-2017
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/07/2018
Last Update Date : 05/07/2018

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Directions to “ KATERI KATE DANCY ” Practice Location

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