Individual
JUSTINE M PATAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPC, LCADC
Contact information
Practice address
5940 S RAINBOW BLVD, LAS VEGAS, NV 89118-2506
(702) 963-6200
Mailing address
5940 S RAINBOW BLVD, LAS VEGAS, NV 89118-2506
(702) 963-6200
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
00350-C
NV
101YA0400X
Addiction (Substance Use Disorder) Counselor
00549-LC
NV
101YM0800X
Mental Health Counselor
Primary
CP1201
NV
Other
Enumeration date
10/10/2014
Last updated
02/09/2021
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