Individual
BRYNNE CARA CAMPBELL DEARIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3441 S EASTERN AVE # 101, LAS VEGAS, NV 89169-3314
(702) 423-4838
Mailing address
1411 DI BLASI DR, #101, LAS VEGAS, NV 89119
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/23/2018
Last updated
08/23/2018
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