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Organization
FIRST PERSON CARE CLINIC
Active
Organization
FIRST PERSON CARE CLINIC
Active
Other names
Huntridge Teen Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROXANA VALETON (CEO)
(702) 380-8118
Entity
Organization
Contact information
Practice address
2100 S MARYLAND PKWY, SUITE 1, LAS VEGAS, NV 89104-3230
(702) 732-8776
(702) 369-2162
Mailing address
2100 S MARYLAND PKWY, SUITE 1, LAS VEGAS, NV 89104-3230
(702) 732-8776
(702) 369-2162
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
NULL
101Y00000X
Counselor
—
—
103K00000X
Behavior Analyst
—
NULL
103K00000X
Behavior Analyst
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
1041S0200X
School Social Worker
—
NULL
1041S0200X
School Social Worker
—
—
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
363LC1500X
Community Health Nurse Practitioner
Primary
—
NULL
363LC1500X
Community Health Nurse Practitioner
Primary
—
—
364SC1501X
Community Health/Public Health Clinical Nurse Specialist
—
NULL
364SC1501X
Community Health/Public Health Clinical Nurse Specialist
—
—
364SP0810X
Child & Family Psychiatric/Mental Health Clinical Nurse Specialist
—
NULL
364SP0810X
Child & Family Psychiatric/Mental Health Clinical Nurse Specialist
—
—
Other
Enumeration date
04/04/2016
Last updated
09/07/2017
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