Provider Demographics
NPI:1376830307
Name:KAUFMAN, NATALIE A (MS, CPC, LADC, NCC)
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:A
Last Name:KAUFMAN
Suffix:
Gender:F
Credentials:MS, CPC, LADC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2470 SAINT ROSE PKWY STE 201
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89074-7774
Mailing Address - Country:US
Mailing Address - Phone:702-744-7047
Mailing Address - Fax:702-990-6445
Practice Address - Street 1:2470 SAINT ROSE PKWY STE 201
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89074-7774
Practice Address - Country:US
Practice Address - Phone:702-744-7047
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-28
Last Update Date:2019-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV01520L101YA0400X
NVCP0095101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)