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NPI Code Detail

MEDICARE: SHERRIE BURCH LCADC

MEDICARE: SHERRIE BURCH LCADC
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) Counselor00126-LCNV

General Provider Information

NPI Number : 1861788788
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHERRIE BURCH LCADC
Provider Business Mailing Address
First Line : 714 E SAHARA AVE
Second Line : SUITE 101
City : LAS VEGAS
State : NV
Zip : 89104-2942
Country : US
Telephone Number : 702-369-8700
Fax Number : 702-369-8489
Provider Business Practice Location Address
First Line : 714 E SAHARA AVE
Second Line : SUITE 101
City : LAS VEGAS
State : NV
Zip : 89104-2942
Country : US
Telephone Number : 702-369-8700
Fax Number : 702-369-8489
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2011
Last Update Date : 06/20/2011

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Directions to “ SHERRIE BURCH LCADC” Practice Location

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