# DIAGNOSTICARE, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164607503
- **Authorized official:** MR. DANA CRUMP BROWN MS, CADC INTERN (COUNSELOR)
- **Authorized official phone:** (702) 807-6844

## Contact information

- **Practice address:** 3923 SHETLAND PONY ST, LAS VEGAS, NV 89122-3456
- **Practice address phone:** (702) 807-6844
- **Practice address fax:** (702) 407-2446
- **Mailing address:** 3923 SHETLAND PONY ST, LAS VEGAS, NV 89122-3456
- **Mailing address phone:** (702) 807-6844
- **Mailing address fax:** (702) 407-2446

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | — | NV | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 0981-I | NV | Yes |
| 101YM0800X | Mental Health Counselor | — | NV | — |
| 171M00000X | Case Manager/Care Coordinator | — | NV | — |

## Other

- **Enumeration date:** 01/03/2008
- **Last updated:** 01/03/2008