Provider Demographics
NPI:1093151417
Name:HAID, JAMES R SR (CADC)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:R
Last Name:HAID
Suffix:SR
Gender:M
Credentials:CADC
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:3661 S MARYLAND PWKY
Mailing Address - Street 2:SUITE 64
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89169-3005
Mailing Address - Country:US
Mailing Address - Phone:702-735-7900
Mailing Address - Fax:702-735-0081
Practice Address - Street 1:3661 S MARYLAND PWKY
Practice Address - Street 2:SUITE 64
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89169-3005
Practice Address - Country:US
Practice Address - Phone:702-735-7900
Practice Address - Fax:702-735-0081
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-13
Last Update Date:2013-05-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NV00351101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)