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Individual

DESTINIE CLEVELAND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PADC CPC-INTERN NCC

Contact information

Practice address
3311 S RAINBOW BLVD STE 105, LAS VEGAS, NV 89146-6596
(702) 546-6816
Mailing address
732 S 6TH ST STE N, LAS VEGAS, NV 89101-6928
(702) 482-8527

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
08182-PC
NV
101YM0800X
Mental Health Counselor
CI5448
NV

Other

Enumeration date
01/12/2024
Last updated
02/09/2026
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