FRED BLAUTH

SPARKS, NV
NPI1689197444
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NV  00130-c)
Enumeration Date2017-07-24
Last Update Date2017-07-24
Business Address
FRED BLAUTH CADC
2105 SULLIVAN LN
SPARKS, NV 89431
Phone number: 775-355-7735
Mailing Address
FRED BLAUTH CADC
927 MOUNT ROSE ST
RENO, NV 89509-3226
Phone number: