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Individual
VICKI LAVERSA
Active
Individual
VICKI LAVERSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC, ICADC, CADC-II
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
00978
NV
101YA0400X
Addiction (Substance Use Disorder) Counselor
710216
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
A7590312
NULL
Other
Enumeration date
10/03/2013
Last updated
10/03/2013
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