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General NPI Number Information
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NPI Number | 1740951920
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Entity Type | Individual
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Provider Name | KRISHA CABRERA MS
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Gender | Female
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Dates
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Enumeration Date | 09/27/2021
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Last Update Date | 10/30/2024
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Provider Practice Location Address
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Address Line | 5584 S FORT APACHE RD
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City | LAS VEGAS
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State | NV
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Zip | 89148-7657
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Country | US
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Telephone | 702-296-1222
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Fax |
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Provider Business Mailing Address
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Address Line | 8312 JOSEPH CARY CT
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City | LAS VEGAS
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State | NV
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Zip | 89145-2409
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Country | US
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Telephone | 725-218-7900
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 07808I
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | CI5452
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License Number State | NV
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