Individual
IAN CHRISTIAN WILLIAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADCI
Contact information
Practice address
6655 W SAHARA AVE STE D208, LAS VEGAS, NV 89146-0851
(702) 275-3126
Mailing address
6655 W SAHARA AVE STE D208, LAS VEGAS, NV 89146-0851
(702) 275-3126
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
02519-I
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02519-I
SUBSTANCE ABUSE
NV
Enumeration date
08/07/2019
Last updated
08/07/2019
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