CHANICA FOUNTAIN

Rehabilitation Counselor

Active Individual
NPI: 1073924460

Practice Address

6700 SHEFFIELD DR
Las Vegas, NV 89108

Phone: (702) 788-3216

Specialties

Specialty Code Primary License
Rehabilitation Counselor 225C00000X Yes -

Frequently Asked Questions

NPI 1073924460 is the National Provider Identifier for CHANICA FOUNTAIN, a Rehabilitation Counselor provider located in Las Vegas, NV. This NPI was enumerated on May 19, 2014.
CHANICA FOUNTAIN practices at 6700 SHEFFIELD DR, Las Vegas, NV 89108.

Quick Facts

NPI
1073924460
Type
Individual
Enumerated
May 19, 2014
Last Updated
May 19, 2014

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