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Individual

SHANNON CREME

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPC

Contact information

Practice address
11109 RIVER HILLS LN, LAS VEGAS, NV 89135-1791
(702) 731-0909
Mailing address
11109 RIVER HILLS LN, LAS VEGAS, NV 89135-1791
(702) 731-0909

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CP5049
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100543107
NV
01
1255709291
NPI
NV
Enumeration date
09/08/2015
Last updated
09/17/2021
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