Individual provider · Type 1 NPI

Gustavo Cancino

Peer Specialist · Las Vegas, NV

NPI number 1124527551 Active

Practice location

1640 Alta Dr Ste 4
Las Vegas, NV 89106-4165

Call (702) 474-6450 Map

Fax (702) 474-6463

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1124527551

Gustavo Cancino's National Provider Identifier is 1124527551, issued on Feb 12, 2018. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Las Vegas, NV. The record was last updated on Feb 12, 2018.