Individual
CAROLYNN PRAVATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LADC
Contact information
Practice address
3909 S MARYLAND PKWY STE 211, LAS VEGAS, NV 89119-7520
(702) 384-2960
(702) 384-2963
Mailing address
3909 S MARYLAND PKWY STE 211, LAS VEGAS, NV 89119-7520
(702) 384-2960
(702) 384-2963
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1175
NV
101YA0400X
Addiction (Substance Use Disorder) Counselor
340S
NV
Other
Enumeration date
05/11/2011
Last updated
05/11/2011
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