Individual
CASEY RENE CASILLAS-NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
2500 W WASHINGTON AVE STE B, LAS VEGAS, NV 89106-3731
(027) 605-5858
Mailing address
2500 W WASHINGTON AVE STE B, LAS VEGAS, NV 89106-3731
(702) 605-5858
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
01786-L
NV
101YM0800X
Mental Health Counselor
Primary
CI0215
NV
Other
Enumeration date
05/16/2013
Last updated
05/18/2021
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