Individual provider · Type 1 NPI
Jeffrey John Carson, MA, LADC
Addiction (Substance Use Disorder) Counselor · Las Vegas, NV
NPI number
1801130232
Active
Practice location
1405 San Juan Hills Dr Unit 105
Las Vegas, NV 89134-6390
Mailing address
1405 San Juan Hills Dr, Unit 105
Las Vegas, NV 89134-6390
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | None listed |
| Mental Health Counselor | 101YM0800X | None listed |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 1269 (NV) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1801130232
Jeffrey John Carson, MA, LADC's National Provider Identifier is 1801130232, issued on Nov 26, 2012. 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 Apr 8, 2019.