Organization
CREATIVE COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANA STIRTON MS, CPC-INTERN (OWNER)
(775) 671-5528
Entity
Organization
Contact information
Practice address
1255 WATERLOO LN, GARDNERVILLE, NV 89410-7403
(775) 671-5528
Mailing address
1255 WATERLOO LN, GARDNERVILLE, NV 89410-7403
(775) 671-5528
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346762622
—
NV
05
—
1871867739
—
NV
Enumeration date
07/08/2017
Last updated
01/05/2020
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