Lisa N Robertson
Counselor, Addiction (Substance Use Disorder) in Las Vegas, NV. Individual provider (NPI-1).
NPI number1104568435
StatusActive
Last updated in NPPESApr 7, 2022
Details
- NPI
- 1104568435
- Entity type
- Individual (NPI-1)
- Name
- Lisa N Robertson
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 7, 2022
- Certification date
- Apr 7, 2022
- Last updated
- Apr 7, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | Yes |
| 101YM0800X | Counselor, Mental Health | – | – |
Practice location
2150 N Tenaya Way Apt 2143Las Vegas, NV 89128-0414
Phone 702-980-4037
Mailing address
2150 N Tenaya Way Apt 2143Las Vegas, NV 89128-0414
Phone 702-980-4037
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