MEDICARE: DAINA CHIAPPE

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	CI0218	NV
2	101YM0800X	Mental Health Counselor	CP1192	NV

General Provider Information

NPI Number	:	1114358868
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAINA CHIAPPE

Provider Business Mailing Address
First Line	:	10051 HERITAGE DESERT ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89178-0106
Country	:	US
Telephone Number	:	702-234-3976
Fax Number	:

Provider Business Practice Location Address
First Line	:	2621 W CHARLESTON BLVD STE D
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-2121
Country	:	US
Telephone Number	:	702-955-7717
Fax Number	:

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

Provider Enumeration Date	:	12/06/2013
Last Update Date	:	01/09/2024

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Directions to “ DAINA CHIAPPE ” Practice Location

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