Individual
NAKETA NICHELLE PREWITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2435 PYRAMID WAY, SUITE B, SPARKS, NV 89431-1865
(530) 260-1058
Mailing address
2965 JOHNSTONVILLE RD SPC 53, SUSANVILLE, CA 96130-4735
(530) 260-1058
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
103TR0400X
Rehabilitation Psychologist
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
09/15/2015
Last updated
09/15/2015
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