Organization
CREATIVE COUNSELING SERVICES, LLC
Active
Other names
Creative Counseling Services, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
SHANA STIRTON CPC (OWNER)
(775) 526-0280
Entity
Organization
Contact information
Practice address
4090 EASTLAKE BLVD, WASHOE VALLEY, NV 89704-9103
(775) 433-1986
Mailing address
4090 EASTLAKE BLVD, WASHOE VALLEY, NV 89704-9103
(775) 433-1986
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1871867739
—
NV
Enumeration date
11/12/2021
Last updated
11/12/2021
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