Individual
DR. PHYLLIS MONTAVON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D., LCSW, LCADC
Contact information
Practice address
3450 E RUSSELL RD STE 115, LAS VEGAS, NV 89120-2201
(702) 712-5431
(702) 297-6599
Mailing address
5172 JEWEL CANYON DR, LAS VEGAS, NV 89122-8328
(702) 712-5431
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LADC - 01322-L
NV
1041C0700X
Clinical Social Worker
Primary
LCSW 7031-C
NV
Other
Enumeration date
05/15/2009
Last updated
02/07/2025
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