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NPI Code Detail

MEDICARE: MR. WILLIAM CUTHBERTSON SR. NAT. CERTIFIED COUNS

MEDICARE: MR. WILLIAM CUTHBERTSON SR. NAT. CERTIFIED COUNS
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
1101YP2500XProfessional Counselor15637
2225400000XRehabilitation Practitioner

General Provider Information

NPI Number : 1801195896
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. WILLIAM CUTHBERTSON SR. NAT. CERTIFIED COUNS
Provider Business Mailing Address
First Line : 7055 E LAKE MEAD BLVD
Second Line : APT#1152
City : LAS VEGAS
State : NV
Zip : 89156-1108
Country : US
Telephone Number : 609-221-7434
Fax Number :
Provider Business Practice Location Address
First Line : 1230 W OWENS AVE
Second Line : SUITE 6
City : LAS VEGAS
State : NV
Zip : 89106-2451
Country : US
Telephone Number : 702-636-5373
Fax Number : 702-636-1393
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2011
Last Update Date : 03/16/2011

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