Individual
VICKI LAVERSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC, ICADC, CADC-II
Contact information
Practice address
1802 N CARSON ST, #155, CARSON CITY, NV 89701-1265
(775) 235-8730
Mailing address
PO BOX 2495, CARSON CITY, NV 89702-2495
(775) 220-2751
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
00978
NV
101YA0400X
Addiction (Substance Use Disorder) Counselor
710216
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
A7590312
—
Other
Enumeration date
10/03/2013
Last updated
10/03/2013
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