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NPI Code Detail

MEDICARE: MARIA CARLA ALCABASA MORENO

MEDICARE:   MARIA CARLA ALCABASA MORENO
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 CounselorNV

General Provider Information

NPI Number : 1962098780
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA CARLA ALCABASA MORENO
Provider Business Mailing Address
First Line : 9555 PALINI CT
Second Line :
City : LAS VEGAS
State : NV
Zip : 89123-6226
Country : US
Telephone Number : 702-886-2202
Fax Number :
Provider Business Practice Location Address
First Line : 9555 PALINI CT
Second Line :
City : LAS VEGAS
State : NV
Zip : 89123-6226
Country : US
Telephone Number : 702-886-2202
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/16/2020
Last Update Date : 12/16/2020

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Directions to “ MARIA CARLA ALCABASA MORENO ” Practice Location

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