Individual
ANNELISIA CHACON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4538 W CRAIG RD STE 290, NORTH LAS VEGAS, NV 89032-2511
(702) 486-6987
Mailing address
3920 W ANN RD STE 100, NORTH LAS VEGAS, NV 89031-3840
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
MI4234
NV
Other
Enumeration date
04/05/2023
Last updated
06/28/2023
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