Individual
MR. RAYMOND ANDREW JIM JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NACADC
Contact information
Practice address
1623 HOSPITAL LOOP, OWYHEE, NV 89832-0130
(775) 757-2415
(775) 757-3010
Mailing address
PO BOX 130, OWYHEE, NV 89832-0130
(775) 757-2415
(775) 757-3010
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
00105-C
NV
Other
Enumeration date
01/10/2013
Last updated
01/10/2013
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