Individual
EDGAR EMANUEL SALCIDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7473 W LAKE MEAD BLVD, LAS VEGAS, NV 89128-0265
(702) 531-4744
(702) 531-4744
Mailing address
7473 W LAKE MEAD BLVD, LAS VEGAS, NV 89128-0265
(702) 531-4744
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
02564-I
NV
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
01/19/2018
Last updated
11/06/2019
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