Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YA0400X | Addiction Counselor (Substance Use Disorder) |
NPI | 1003253154 |
---|---|
Provider Name | Steven Daniel Barcia |
First Address | Reno, NV 89502-9513 |
Second Address | Reno, NV 89502-9513 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/05/2013 |
Last Update Date | 30/05/2013 |