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NPI Code Detail

MEDICARE: JASON KATROSITS

MEDICARE:   JASON  KATROSITS
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1750692851
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASON KATROSITS
Provider Business Mailing Address
First Line : 4000 E CHARLESTON BLVD STE 130
Second Line :
City : LAS VEGAS
State : NV
Zip : 89104-6681
Country : US
Telephone Number : 702-968-4000
Fax Number : 702-968-4040
Provider Business Practice Location Address
First Line : 4000 E CHARLESTON BLVD STE 130
Second Line :
City : LAS VEGAS
State : NV
Zip : 89104-6681
Country : US
Telephone Number : 702-968-4000
Fax Number : 702-968-4040
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2010
Last Update Date : 06/24/2010

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Directions to “ JASON KATROSITS ” Practice Location

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