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Individual

APRIL ROSE BLACKHAT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CADC-I

Contact information

Practice address
215 BLUFFS AVE STE 100, ELKO, NV 89801-2466
(775) 738-4158
(775) 778-9501
Mailing address
215 BLUFFS AVE STE 100, ELKO, NV 89801-2466
(775) 738-4158
(775) 778-9501

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2086969369
PHONE NUMBER
Enumeration date
09/14/2022
Last updated
09/14/2022
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