NPI 1780120642

Stacey Dillree, LMTBCMT

Practitioner Prevention Professional Las Vegas, NV

Practice location

Address: 2800 W Sahara Ave STE 8b-C, Las Vegas, NV 89102-4390
Phone: (702) 379-3704
Mailing address: 1911 Grovespring St, Las Vegas, NV 89135-1085

Registered specialties

Prevention Professional Primary

Other Service Providers Taxonomy 405300000X Licence 4884 (NV)

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Registry record

NPI: 1780120642
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Jan 2017
Record last updated: 16 Jan 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.