Basic Information
| Provider Information | |||||||||
| NPI: | 1285752543 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | FRANCO | ||||||||
| FirstName: | CHRISTOPHER | ||||||||
| MiddleName: | ROLAND | ||||||||
| NamePrefix: | MR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | LCSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4000 E CHARLESTON BLVD | ||||||||
| Address2: | STE 130 | ||||||||
| City: | LAS VEGAS | ||||||||
| State: | NV | ||||||||
| PostalCode: | 891046659 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7029398570 | ||||||||
| FaxNumber: | 7029684040 | ||||||||
| Practice Location | |||||||||
| Address1: | 4000 E CHARLESTON BLVD STE 230 | ||||||||
| Address2: | |||||||||
| City: | LAS VEGAS | ||||||||
| State: | NV | ||||||||
| PostalCode: | 891046682 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7028770684 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/26/2007 | ||||||||
| LastUpdateDate: | 12/19/2019 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 12/19/2019 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YA0400X | 01327-L | NV | N | Behavioral Health & Social Service Providers | Counselor | Addiction (Substance Use Disorder) | 104100000X | 7281-S | NV | N | Behavioral Health & Social Service Providers | Social Worker | 1041C0700X | IC-1066 | NV | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
ID Information
| ID | Type | State | Issuer | Description | 7281-S | 01 | NV | BOARD OF EXAMINERS FOR SOCIAL WORKERS - LSW | OTHER | 01327-L | 01 | NV | UNIVERSITY OF NEVADA, SCHOOL OF MEDICINE, DEPARTMENT OF PSYCHIATRY | OTHER | IC-1066 | 01 | NV | BOARD OF EXAMINERS FOR SOCIAL WORKERS - CSW-INTERN | OTHER | 8519-C | 01 | NV | STATE OF NEVADA BOARD OF EXAMINERS FOR SOCIAL WORKERS | OTHER | 100500484 | 05 | NV | MEDICAID |