Provider Demographics
NPI:1629217955
Name:PAISANO, ROBERT FRANCIS (LADC)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:FRANCIS
Last Name:PAISANO
Suffix:
Gender:M
Credentials:LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:900 E KAREN AVE
Mailing Address - Street 2:STE C-207 STAR COUNSELING/CONSULTANT LLC
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89109
Mailing Address - Country:US
Mailing Address - Phone:702-310-6593
Mailing Address - Fax:702-310-6594
Practice Address - Street 1:900 E KAREN AVE
Practice Address - Street 2:SUITE C-207
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89109
Practice Address - Country:US
Practice Address - Phone:702-310-6593
Practice Address - Fax:702-310-6593
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-10
Last Update Date:2024-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV164-L101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)