Individual provider · Type 1 NPI
Fred Blauth Jr., CADC
Addiction (Substance Use Disorder) Counselor · Sparks, NV
NPI number
1689197444
Active
Practice location
2105 Sullivan Ln
Sparks, NV 89431
Mailing address
927 Mount Rose St
Reno, NV 89509-3226
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 00130-C (NV) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1689197444
Fred Blauth Jr., CADC's National Provider Identifier is 1689197444, issued on Jul 24, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Sparks, NV. The record was last updated on Jul 24, 2017.