Doctor Name: | CARMEN APODACA |
NPI Number: | 1437596467 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CADCI |
License Number: | 01131 |
Business Practice Address: | 720 South Main St. Yerington, NV - 894472474 |
Business Phone Number: | 7754636597 |
Business Fax Number: | 7754636598 |
Mailing Address: | 720 South Main St., YERINGTON |
State: | NV |
Postal Code: | 894472474 |
Phone Number: | 7754636597 |
Fax Number: | 7754636598 |
NPI Enumeration Date: | 05/31/2013 |
NPI Last Update Date: | 05/31/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 01131 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NV |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |