Individual
CHRISLYN LEE EBLACAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPC INTERN
Contact information
Practice address
6875 W CHARLESTON BLVD STE A, LAS VEGAS, NV 89117-1671
(702) 545-0229
Mailing address
6875 W CHARLESTON BLVD STE A, LAS VEGAS, NV 89117-1671
(702) 545-0229
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CI0026
NV
Other
Enumeration date
09/02/2010
Last updated
10/20/2011
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