Individual
ELVIRA WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1755 SULLIVAN LN, SPARKS, NV 89431-2815
(775) 355-7734
(775) 355-7759
Mailing address
1755 SULLIVAN LN, SPARKS, NV 89431-2815
(775) 355-7734
(775) 355-7759
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
452
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922056415
—
NV
Enumeration date
04/15/2016
Last updated
04/15/2016
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