Individual
STANLEY HEWITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1200 HARRIS SPRINGS RD, LAS VEGAS, NV 89124-9215
(702) 872-5382
Mailing address
416 N 12TH ST APT D, LAS VEGAS, NV 89101-7820
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/20/2013
Last updated
06/28/2013
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