MS. MARY E BOHANAN BA, LADC
NPI 1730490814
Counselor - Addiction (Substance Use Disorder) in Las Vegas, NV
Active since June 23, 2010
About Ms. Mary E Bohanan Ba, Ladc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. MARY E BOHANAN BA, LADC (NPI 1730490814) is an individual addiction (substance use disorder) provider in Las Vegas, Nevada, licensed in Nevada (569) and active in the NPI registry since June 2010.
NPPES Registry Identity
NPI1730490814
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMS. MARY E BOHANANCredential: BA, LADC
Location Address900 E KAREN AVELas Vegas, NV 89109-1264
Mailing AddressPo Box 43635Las Vegas, NV 89116-1635 · (702) 306-3093
Phone(702) 306-3093
Sole ProprietorYes
Enumeration DateJune 23, 2010
✔ NPI 1730490814 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in NV · 569
900 E KAREN AVE, Las Vegas, NV 89109
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1730490814, enumerated as an "individual" on June 23, 2010.
The provider is located at 900 E KAREN AVE LAS VEGAS, NV 89109 and the phone number is (702) 306-3093.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
