Individual
DAVID C CHURCHILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPCI
Contact information
Practice address
1901 S JONES BLVD, LAS VEGAS, NV 89146-1260
(702) 486-7596
Mailing address
1901 S JONES BLVD, LAS VEGAS, NV 89146-1260
(702) 486-7596
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CI5044
NV
103K00000X
Behavior Analyst
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1417259995
—
NV
Enumeration date
12/03/2010
Last updated
07/23/2025
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