Individual
THEODORE JAY LEVATTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC
Contact information
Practice address
1201 CORPORATE BLVD, SUITE 100, RENO, NV 89502-7101
(775) 857-2999
(775) 857-2998
Mailing address
1201 CORPORATE BLVD, SUITE 100, RENO, NV 89502-7101
(775) 857-2999
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
00505I
NV
Other
Enumeration date
03/25/2008
Last updated
03/25/2008
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