Individual provider · Type 1 NPI

Therese Stanke

Addiction (Substance Use Disorder) Counselor · Las Vegas, NV

NPI number 1053204115 Active

Practice location

916 N Main St
Las Vegas, NV 89101-1931

Call (702) 202-6647 Map

Mailing address

11319 La Madre Ridge Dr
Las Vegas, NV 89135-1829

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X07042-1 (NV)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1053204115

Therese Stanke's National Provider Identifier is 1053204115, issued on May 29, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Las Vegas, NV. The record was last updated on May 29, 2025.