Individual provider · Type 1 NPI
Leandra La Rue Petterson, MS, CADC-I, DVTPP
Addiction (Substance Use Disorder) Counselor · Henderson, NV
NPI number
1710795653
Active
Practice location
7 S Water St Ste 1
Henderson, NV 89015-7213
Mailing address
2638 Wild Ambrosia Ave
Henderson, NV 89074-2891
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 07423-I (NV) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1710795653
Leandra La Rue Petterson, MS, CADC-I, DVTPP's National Provider Identifier is 1710795653, issued on Dec 23, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Henderson, NV. The record was last updated on Dec 23, 2024.