Individual
TALISHA RISCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5000 INDIAN RIVER DR UNIT 481, LAS VEGAS, NV 89103-6136
(215) 668-4746
Mailing address
5000 INDIAN RIVER DR UNIT 481, LAS VEGAS, NV 89103-6136
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00001759387
—
NV
Enumeration date
02/16/2015
Last updated
02/16/2015
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