NPI 1104651942 · live from the CMS NPI Registry
Marissa Alvarez
Counselor, Addiction (Substance Use Disorder) in Las Vegas, NV. National Provider Identifier 1104651942, active.
NPI record
| NPI | 1104651942 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Counselor, Addiction (Substance Use Disorder) 101YA0400X |
| Practice location | 3318 N Decatur Blvd Unit 2003, Las Vegas, NV 89130 |
| Practice phone | 702-510-6186 |
| Enumerated | September 3, 2024 |
| Last updated | November 6, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Counselor, Addiction (Substance Use Disorder) primary | 101YA0400X | 07820-I (NV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.