Most Relevant Information
Provider Data
| NPI Number: | 1003654815 |
| Provider Name: | EDGAR RANGEL CADC INTERN |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | 07773-I |
Most Important Dates
| Enumeration Date: | 07/16/2024 |
| Last Updated: | 07/16/2024 |
Provider Practice Location
205 S PRATT AVE
CARSON CITY
NV
897014730
Practice Location Phone/Fax
| Phone: | 7758823945 |
| Fax: | 7758826126 |
Provider Mailing Location
205 S PRATT AVE
CARSON CITY
NV
897014730
Provider Mailing Phone/Fax
| Phone: | 7758823945 |
| Fax: | 7758826126 |