NPI 1134404635 · live from the CMS NPI Registry
Caroline T Adeosun, QBA
Counselor, Mental Health in Las Vegas, NV. National Provider Identifier 1134404635, active.
NPI record
| NPI | 1134404635 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Counselor, Mental Health 101YM0800X |
| Practice location | 5715 W Alexander Rd, Suite 155, Las Vegas, NV 89130 |
| Practice phone | 702-586-8693 |
| Mailing address | 4829 Carefree Dr, Las Vegas, NV 89122 |
| Enumerated | October 15, 2011 |
| Last updated | October 15, 2011 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Mental Health primary | 101YM0800X | 276299 (NV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.