Dawn Marie Tudor, CADC-I
Counselor, Addiction (Substance Use Disorder) in Las Vegas, NV. Individual provider (NPI-1).
NPI number1649876830
StatusActive
Last updated in NPPESDec 11, 2020
Details
- NPI
- 1649876830
- Entity type
- Individual (NPI-1)
- Name
- Dawn Marie Tudor
- Credential
- CADC-I
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 11, 2020
- Certification date
- Dec 11, 2020
- Last updated
- Dec 11, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 06627-I | NV | Yes |
Practice location
5659 Duncan DrLas Vegas, NV 89130-2811
Phone 702-385-2020
Mailing address
2909 Windstorm AveLas Vegas, NV 89106-1351
Phone 702-742-7037
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