Individual
MS. VICTORIA KAY DACOSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH, CMT
Contact information
Practice address
3450 W CHEYENNE AVE STE 100, NORTH LAS VEGAS, NV 89032-8223
(702) 787-2116
Mailing address
9004 DOLENTE AVE, LAS VEGAS, NV 89129-6122
(702) 980-4199
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/08/2019
Last updated
04/08/2019
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