Individual
DANIELA LEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1640 ALTA DR STE 4, LAS VEGAS, NV 89106
(702) 474-6450
Mailing address
8313 W GILMORE AVE, LAS VEGAS, NV 89129-6897
(702) 807-8914
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
06/25/2013
Last updated
06/27/2018
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