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Individual

CARL KOSARICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.ED, LADC

Contact information

Practice address
4475 S EASTERN AVE, LAS VEGAS, NV 89119-7826
(702) 669-5911
Mailing address
4475 S EASTERN AVE, LAS VEGAS, NV 89119-7826
(702) 669-5911

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
00661
NV

Other

Enumeration date
01/05/2015
Last updated
01/05/2015
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