MEDICARE: ALONDRA ESCOBEDO

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	07813-I	NV

General Provider Information

NPI Number	:	1851118988
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALONDRA ESCOBEDO

Provider Business Mailing Address
First Line	:	3441 W SAHARA AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-6061
Country	:	US
Telephone Number	:	702-445-7318
Fax Number	:

Provider Business Practice Location Address
First Line	:	3441 W SAHARA AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-6061
Country	:	US
Telephone Number	:	702-445-7318
Fax Number	:

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

Provider Enumeration Date	:	09/20/2024
Last Update Date	:	09/20/2024

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Directions to “ ALONDRA ESCOBEDO ” Practice Location

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