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Individual

CRAIG ALAN LARSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LADC

Contact information

Practice address
3900 W CHARLESTON BLVD STE 170, LAS VEGAS, NV 89102-1682
(702) 453-4673
(702) 453-2673
Mailing address
304 HORSE POINTE AVE, NORTH LAS VEGAS, NV 89084-1224
(702) 236-4484

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
232
NV

Other

Enumeration date
07/06/2010
Last updated
07/06/2010
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