Individual
MR. EDWARD JOHN KOVACS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC-INTERN
Contact information
Practice address
344 E 100 S STE 301, SLC, UT 84111-1727
(801) 322-4257
Mailing address
5800 VEGAS DR, LAS VEGAS, NV 89108-2468
(702) 724-4276
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
01433 - INTERN
NV
Other
Enumeration date
12/01/2015
Last updated
12/01/2015
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