Individual
KRISTIN CREEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3050 E DESERT INN RD STE 116, LAS VEGAS, NV 89121-3872
(702) 796-0660
Mailing address
PO BOX 897, BOISE, ID 83701-0897
(208) 367-9021
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00125-LCS
SUPERVISOR OF LICENSE CLINICAL ALCOHOL & DRUG COUNSELORS
NV
Enumeration date
05/29/2017
Last updated
03/07/2023
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