Organization
MEDTRANS RENO CASAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANCES MALINIS (CREDENTIALING SPECIALIST)
(702) 410-7825
Entity
Organization
Contact information
Practice address
3312 W CHARLESTON BLVD, LAS VEGAS, NV 89102-1829
(702) 291-7121
Mailing address
3312 W CHARLESTON BLVD, LAS VEGAS, NV 89102-1829
(702) 410-7825
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/10/2021
Last updated
05/10/2021
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