Individual
DESIREE C CANTORNA-IBARRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC, CADC-I
Contact information
Practice address
5812 SUTCLIFFE CIR, LAS VEGAS, NV 89110-3855
(702) 769-9211
Mailing address
5812 SUTCLIFFE CIR, LAS VEGAS, NV 89110-3855
(702) 769-9211
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
01194
NV
101YP2500X
Professional Counselor
Primary
CP0120
NV
Other
Enumeration date
10/25/2010
Last updated
01/21/2016
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