Provider Demographics
NPI:1194090985
Name:MONAGHAN, JAMES EDWARD III (LPC, LAC, CPC, LCADC)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:EDWARD
Last Name:MONAGHAN
Suffix:III
Gender:M
Credentials:LPC, LAC, CPC, LCADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6228 DESERT HAVEN RD
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89130-3706
Mailing Address - Country:US
Mailing Address - Phone:702-389-0024
Mailing Address - Fax:
Practice Address - Street 1:6228 DESERT HAVEN RD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89130-3706
Practice Address - Country:US
Practice Address - Phone:702-389-0024
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-13
Last Update Date:2017-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COACD #226101YA0400X
NV0390-LC101YA0400X
COLPC #6108101YP2500X
NVLP0109101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)