Individual
NICOLE JACQUELINE CAUCHOIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4455 S PECOS RD STE C, LAS VEGAS, NV 89121-5029
(702) 505-1280
Mailing address
4455 S PECOS RD STE C, LAS VEGAS, NV 89121-5029
(702) 350-2056
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CP1135
NV
101YA0400X
Addiction (Substance Use Disorder) Counselor
01705-L
NV
101YM0800X
Mental Health Counselor
CP1135
NV
101YP2500X
Professional Counselor
CP1135
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346588159
—
NV
Enumeration date
01/29/2013
Last updated
08/28/2019
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