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General NPI Number Information
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NPI Number | 1962035063
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Entity Type | Organization
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Legal Business Name | TRES PUNTOS COUNSELING CENTER LLC
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Dates
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Enumeration Date | 02/17/2020
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Last Update Date | 07/07/2023
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Provider Practice Location Address
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Address Line | 4760 S PECOS RD STE 103
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City | LAS VEGAS
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State | NV
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Zip | 89121-5828
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Country | US
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Telephone | 702-909-0857
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Fax |
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Provider Business Mailing Address
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Address Line | 1198 MISSION VIEW CT
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City | HENDERSON
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State | NV
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Zip | 89002-3461
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Country | US
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Telephone | 702-813-6077
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | FRANCISCO GONZALEZ
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Credential | LCSW
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Telephone | 702-530-5806
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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