Individual
MILKA AVILES-QUINTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
400 SHADOW LN STE 106, LAS VEGAS, NV 89106-4355
(702) 731-0909
(702) 826-4757
Mailing address
1208 VALERIO LN, LAS VEGAS, NV 89134-0509
(702) 927-0332
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
3034
NV
106H00000X
Marriage & Family Therapist
MI0406
NV
225400000X
Rehabilitation Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1972851962
—
NV
Enumeration date
08/22/2012
Last updated
06/21/2021
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