FRED BLAUTH JR.


Address: 2105 Sullivan Ln, Sparks, NV 89431
Phone: 7753557735

FRED BLAUTH JR. (NPI# 1689197444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689197444
Entity Type Individual
Full Name FRED BLAUTH JR.
Credential CADC
Practice Address 2105 Sullivan Ln
Sparks
NV 89431
Mailing Address 927 Mount Rose St
Reno
NV 89509-3226
Practice Telephone 7753557735
Enumeration Date 2017-07-24
Last Update Date 2017-07-24
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
00130-C NV Behavioral Health & Social Service Providers

Office Location

Street Address 2105 SULLIVAN LN
City SPARKS
State NV
Zip Code 89431

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053958033 Jerome Johnson II Behavioral Analyst 3115 Saltern Way, Sparks, NV 89431 2019-12-09
1528520640 Dynisha Bernee Richardson Technician, Other 616 Victorian Ave, Sparks, NV 89431 2019-04-05
1902376494 Avalon Care Center-va Reno, LLC Skilled Nursing Facility 36 Battle Born Way, Sparks, NV 89431 2018-11-28
1669964128 Abraham A Arellano Behavioral Analyst 2005 Probasco Way, Sparks, NV 89431 2018-05-31
1003335399 Carresa Greer Counselor 390 Freeport Blvd #3, Sparks, NV 89431 2017-09-18
1548719255 Adolescent Treatment Center Community Based Residential Treatment Facility, Mental Illness 480 Galetti Way, Sparks, NV 89431 2016-09-23
1124478862 Kristina Schneider Behavioral Analyst 3230 Wedekind Rd, 50, Sparks, NV 89431 2016-06-14
1336506898 Rikki Texter Occupational Therapy Assistant 1025 Robert Lane, Sparks, NV 89431 2016-01-28
1851760177 Elizabeth Ojeda Counselor 490 Galletti Way, Building 8c, Sparks, NV 89431 2015-09-16
1164814208 Erick Becerra Counselor 1555 Oddie Blvd Suite B, Sparks, NV 89431 2015-02-26
Find all providers in zip 89431

Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1679183560 Mary Jean Smith Counselor 2105 Capurro Way Ste 270, Sparks, NV 89431-8518 2020-08-05
1912482886 Jennifer Eileen Hernandez Counselor 25 Curnow Springs Ct, Sparks, NV 89436-5616 2018-09-26
1861993602 Daxea Deweese Counselor 2105 Capurro Way Ste 105, Sparks, NV 89431-8586 2018-02-27
1912422593 Megan Taylor Dominguez Counselor 480 Galletti Way Bldg 1, Sparks, NV 89431-5564 2017-08-04
1851760177 Elizabeth Ojeda Counselor 490 Galletti Way, Building 8c, Sparks, NV 89431 2015-09-16
1023486438 Sucelly Melissa Diaz Erazo Counselor 501 El Rancho Dr Spc 88, Sparks, NV 89431-4117 2015-09-02
1003292657 Alicia Aparicio Counselor 1795 Trabert Cir, Sparks, NV 89431-2960 2015-08-06
1700265089 Arcadia Recovery Center Counselor 1188 Victorian Plaza Cir, Sparks, NV 89431-4943 2015-05-20
1164814208 Erick Becerra Counselor 1555 Oddie Blvd Suite B, Sparks, NV 89431 2015-02-26
1124464193 Lindsay Erminia Holland Counselor 420 S Rock Blvd, Sparks, NV 89431-5547 2013-05-17
Find all providers in SPARKS

Competitor

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City SPARKS
Zip Code 89431

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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