Individual
ROSS ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC-I
Contact information
Practice address
4528 W CRAIG RD STE 110, NORTH LAS VEGAS, NV 89032-2505
(702) 647-6433
Mailing address
188 TIMELESS VIEW CT, HENDERSON, NV 89012-5568
(702) 544-3269
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
02461-I
NV
Other
Enumeration date
03/13/2020
Last updated
03/13/2020
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