Individual
MR. ALAN PAUL RADDATZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW,BCD
Contact information
Practice address
6960 OBANNON DR STE 190, LAS VEGAS, NV 89117
(702) 320-3180
(702) 320-3180
Mailing address
6960 OBANNON DR STE 190, LAS VEGAS, NV 89117-2158
(702) 320-3180
(702) 320-3180
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SNV LCSW 00131-C
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1041C0700X
LCSW
NV
05
—
1194880674
—
NV
01
—
LADC0772L
LICENSED DRUG AND ALCOHOL
NV
Enumeration date
12/26/2006
Last updated
05/21/2019
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