Individual
ROOSEVELT DAYMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6600 W CHARLESTON BLVD STE 130, LAS VEGAS, NV 89146-1067
(702) 588-3425
(702) 209-2090
Mailing address
6600 W CHARLESTON BLVD STE 130, LAS VEGAS, NV 89146-1067
(702) 588-3425
(702) 209-2090
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NV20071459752
2D CHANCE INC.
—
05
—
NV20071459752
—
NV
Enumeration date
10/15/2020
Last updated
03/27/2026
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