Individual provider · Type 1 NPI
David Omar Mangual
Addiction (Substance Use Disorder) Counselor · Las Vegas, NV
NPI number
1497120059
Active
Practice location
6787 W Tropicana Ave Ste 120B
Las Vegas, NV 89103-4762
Fax (702) 852-0984
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1497120059
David Omar Mangual's National Provider Identifier is 1497120059, issued on Dec 8, 2015. 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 Dec 8, 2015.