Individual
JO ELLEN OSTROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.A.D.C.
Contact information
Practice address
1681 E FLAMINGO RD, #2, LAS VEGAS, NV 89119-5274
(702) 650-0633
(702) 650-0642
Mailing address
1681 E FLAMINGO RD, #2, LAS VEGAS, NV 89119-5274
(702) 650-0633
(702) 650-0642
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
168-L
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N/A
N/A
—
Enumeration date
08/10/2006
Last updated
07/08/2007
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