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Individual

MRS. SHAYNA KM GUGINO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
526 S TONOPAH DR, SUITE 160, LAS VEGAS, NV 89106-4043
(702) 359-9899
Mailing address
526 S TONOPAH DR, SUITE 160, LAS VEGAS, NV 89106-4043
(702) 359-9899

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
01671-L
NV
101YM0800X
Mental Health Counselor
Primary
CI0104
NV

Other

Enumeration date
04/12/2012
Last updated
01/20/2016
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