Individual provider · Type 1 NPI
Carolynn Pravatta, MS, LADC
Addiction (Substance Use Disorder) Counselor · Las Vegas, NV
NPI number
1275825119
Active
Practice location
3909 S Maryland Pkwy Ste 211
Las Vegas, NV 89119-7520
Fax (702) 384-2963
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 1175 (NV) |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 340S (NV) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1275825119
Carolynn Pravatta, MS, LADC's National Provider Identifier is 1275825119, issued on May 11, 2011. 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 11, 2011.