Organization · Type 2 NPI

Roseman Medical Research Institute

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

NPI number 1063135796 Active

Practice location

1 Breakthrough Way
Las Vegas, NV 89135-3011

Mailing address

10530 Discovery Dr
Las Vegas, NV 89135-3050

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed
Addiction (Substance Use Disorder) Psychologist 103TA0400XNone listed
Clinical Social Worker 1041C0700XNone listed
Peer Specialist 175T00000XNone listed

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About NPI 1063135796

Roseman Medical Research Institute's National Provider Identifier is 1063135796, issued on Sep 19, 2022. 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 Sep 19, 2022.