Individual
DANIELA BOTAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2740 S JONES BLVD, LAS VEGAS, NV 89146-5306
(702) 248-8866
Mailing address
3909 GLENORA FALLS ST, NORTH LAS VEGAS, NV 89085-4405
(702) 376-0360
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
00661-C
NV
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
103K00000X
Behavior Analyst
—
—
1041C0700X
Clinical Social Worker
—
—
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
Other
Enumeration date
08/06/2014
Last updated
05/04/2022
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