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NPI Code Detail

MEDICARE: CAMILLA DORAND

MEDICARE: CAMILLA DORAND
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1467948083
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAMILLA DORAND
Provider Business Mailing Address
First Line : 12317 FANWOOD LN
Second Line :
City : LAS VEGAS
State : NV
Zip : 89138-4613
Country : US
Telephone Number : 702-762-5030
Fax Number :
Provider Business Practice Location Address
First Line : 2801 S VALLEY VIEW BLVD STE 6
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-0166
Country : US
Telephone Number : 702-922-7015
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2018
Last Update Date : 07/06/2018

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Directions to “ CAMILLA DORAND ” Practice Location

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