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Individual

MS. RUSELL V SEVILLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
NELLIS AIR FORCE BASE, LAS VEGAS, NV 89191-6601
(702) 963-6244
Mailing address
26 HARBOR PINES CT, LAS VEGAS, NV 89183-5687
(702) 963-6244

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CP1171-R
NV
101Y00000X
Counselor
LPC-153
GU

Other

Enumeration date
03/22/2016
Last updated
09/12/2025
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