Individual provider · Type 1 NPI

Mary E. Bohanan, BA, LADC

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

NPI number 1730490814 Active

Practice location

900 E Karen Ave
Las Vegas, NV 89109-1264

Call (702) 306-3093 Map

Mailing address

PO Box 43635
Las Vegas, NV 89116-1635

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X569 (NV)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1730490814

Mary E. Bohanan, BA, LADC's National Provider Identifier is 1730490814, issued on Jun 23, 2010. 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 Jun 23, 2010.