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NPI Code Detail

MEDICARE: JOSSIE SCHAUERHAMER MFT, LCADC

MEDICARE: JOSSIE SCHAUERHAMER MFT, 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) Counselor07382-LC
2106H00000XMarriage & Family Therapist4334NV

General Provider Information

NPI Number : 1982262408
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSSIE SCHAUERHAMER MFT, LCADC
Provider Business Mailing Address
First Line : 5550 PAINTED MIRAGE RD STE 210
Second Line :
City : LAS VEGAS
State : NV
Zip : 89149-4727
Country : US
Telephone Number : 702-508-8365
Fax Number :
Provider Business Practice Location Address
First Line : 5550 PAINTED MIRAGE RD STE 210
Second Line :
City : LAS VEGAS
State : NV
Zip : 89149-4727
Country : US
Telephone Number : 702-508-8365
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/30/2019
Last Update Date : 12/12/2023

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Directions to “ JOSSIE SCHAUERHAMER MFT, LCADC” Practice Location

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