Individual
DAVID JOHN FIRESTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
1755 SULLIVAN LN, SPARKS, NV 89431-2815
(775) 499-5534
(775) 499-5536
Mailing address
1755 SULLIVAN LN, SPARKS, NV 89431-2815
(775) 499-5534
(775) 499-5536
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1312L
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922056415
—
NV
Enumeration date
04/14/2016
Last updated
04/14/2016
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