Individual
JONATHAN D DE GRAFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CADC
Contact information
Practice address
1785 E SAHARA AVE STE 160, LAS VEGAS, NV 89104-3759
(702) 252-8342
(702) 252-8349
Mailing address
2887 S MARYLAND PKWY, LAS VEGAS, NV 89109-1511
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
07034-C
NV
225400000X
Rehabilitation Practitioner
—
NV
Other
Enumeration date
04/14/2020
Last updated
05/09/2022
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