Individual
KATRINA DAHL EDMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
4285 N RANCHO DR, LAS VEGAS, NV 89130-3446
(702) 385-5331
Mailing address
4285 N RANCHO DR, LAS VEGAS, NV 89130-3446
(702) 385-5331
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6801097572
MI
104100000X
Social Worker
—
—
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
08/17/2011
Last updated
06/10/2019
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