Individual provider · Type 1 NPI
Dominique Amezcua
Counselor · Las Vegas, NV
NPI number
1912450420
Active
Practice location
5258 S Eastern Ave
Las Vegas, NV 89119-2326
Fax (702) 464-5081
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | None listed |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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About NPI 1912450420
Dominique Amezcua's National Provider Identifier is 1912450420, issued on Aug 1, 2016. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Las Vegas, NV. The record was last updated on Aug 1, 2016.