Individual
CIERA PRIMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPC-I, CADC-I
Contact information
Practice address
4221 MCLEOD DR, LAS VEGAS, NV 89121-5215
(702) 474-6450
Mailing address
1640 ALTA DR STE 4, LAS VEGAS, NV 89106-4165
(702) 474-6450
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
PENDING
NV
101YM0800X
Mental Health Counselor
PENDING
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CADC-I
CADC-I
NV
01
—
CPC-I
CPC-I
NV
Enumeration date
05/31/2022
Last updated
05/31/2022
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