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NPI Code Detail

MEDICARE: MRS. MILAGROS SEVERIN-RUIZ LMFT, LCADC, LCADC-S

MEDICARE: MRS. MILAGROS SEVERIN-RUIZ LMFT, LCADC, LCADC-S
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) Counselor00554-LCNV
2106H00000XMarriage & Family Therapist2632NV

General Provider Information

NPI Number : 1982808960
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MILAGROS SEVERIN-RUIZ LMFT, LCADC, LCADC-S
Provider Business Mailing Address
First Line : 8430 W LAKE MEAD BLVD STE 100
Second Line :
City : LAS VEGAS
State : NV
Zip : 89128-7674
Country : US
Telephone Number : 702-573-5825
Fax Number :
Provider Business Practice Location Address
First Line : 8430 W LAKE MEAD BLVD STE 100
Second Line :
City : LAS VEGAS
State : NV
Zip : 89128-7674
Country : US
Telephone Number : 702-573-5825
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2007
Last Update Date : 01/17/2023

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