Organization
CANDLELIGHT COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DESIREE AMEZCUA (PRESIDENT)
(702) 881-9903
Entity
Organization
Contact information
Practice address
5258 S EASTERN AVE, LAS VEGAS, NV 89119-2326
(702) 881-9903
Mailing address
700 ROCKY TRAIL RD, HENDERSON, NV 89014-0321
(702) 881-9903
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/08/2018
Last updated
10/08/2018
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