Healthcare Provider Details

I. General information

NPI: 1134066954
Provider Name (Legal Business Name): CRISTINA CONTRERAS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 W SUNSET RD STE 102
HENDERSON NV
89011-4112
US

IV. Provider business mailing address

600 W SUNSET RD STE 102
HENDERSON NV
89011-4112
US

V. Phone/Fax

Practice location:
  • Phone: 725-241-5252
  • Fax: 725-231-7474
Mailing address:
  • Phone: 725-241-5252
  • Fax: 725-231-7474

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number11695-M
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: