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General NPI Number Information
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NPI Number | 1245381219
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Entity Type | Organization
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Legal Business Name | CONSEJOS-CITY OF LAS VEGAS
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Dates
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Enumeration Date | 01/16/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 3031 HOT SPRINGS BLVD
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City | LAS VEGAS
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State | NM
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Zip | 87701
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Country | US
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Telephone | 505-425-9464
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Fax | 505-425-8420
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Provider Business Mailing Address
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Address Line | 3031 HOT SPRINGS BLVD
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City | LAS VEGAS
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State | NM
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Zip | 87701
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Country | US
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Telephone | 505-425-9464
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Fax | 505-425-8420
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Authorized Official
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Title or Position | PROGRAM DIRECTOR
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Name | MRS. EVELYN JUARROS
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Credential | LISW
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Telephone | 505-425-9464
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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