Individual
JOSEPH ANDERSON KALACHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW, LADC
Contact information
Practice address
6900 N PECOS RD, NORTH LAS VEGAS, NV 89086
(702) 791-9000
Mailing address
6900 N PECOS RD, NORTH LAS VEGAS, NV 89086-4400
(702) 788-0759
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
000660
CT
1041C0700X
Clinical Social Worker
Primary
005243
CT
Other
Enumeration date
06/18/2018
Last updated
03/22/2019
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