Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YA0400X | Addiction Counselor (Substance Use Disorder) |
NPI | 1003292657 |
---|---|
Provider Name | Alicia Aparicio |
First Address | Sparks, NV 89431-2960 |
Second Address | Sparks, NV 89431-2960 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/08/2015 |
Last Update Date | 27/04/2017 |