MEDICARE: BRITTNEY PRIETO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	CI726	NV

General Provider Information

NPI Number	:	1265086730
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITTNEY PRIETO

Provider Business Mailing Address
First Line	:	3875 CAMBRIDGE ST APT 517
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-7485
Country	:	US
Telephone Number	:	559-802-7369
Fax Number	:

Provider Business Practice Location Address
First Line	:	3875 CAMBRIDGE ST APT 517
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-7485
Country	:	US
Telephone Number	:	559-802-7369
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/01/2019
Last Update Date	:	02/26/2020

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Directions to “ BRITTNEY PRIETO ” Practice Location

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