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Individual

DEBORA TRETIAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S.

Contact information

Practice address
9402 W LAKE MEAD BLVD, LAS VEGAS, NV 89134-8312
(702) 644-6463
(702) 254-1216
Mailing address
9402 W LAKE MEAD BLVD, LAS VEGAS, NV 89134-8312
(702) 644-6463
(702) 254-1216

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
01090-L
NV
106H00000X
Marriage & Family Therapist
01015
NV

Other

Enumeration date
06/02/2006
Last updated
10/26/2007
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