# VICKI LAVERSA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1104253293
- **Gender:** F
- **Credential:** LADC, ICADC, CADC-II

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 00978 | NV | Yes |
| 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