NPI 1235534579 · live from the CMS NPI Registry
Surrey Abderrazik
Counselor, Mental Health in Las Vegas, NV. National Provider Identifier 1235534579, active.
NPI record
| NPI | 1235534579 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Counselor, Mental Health 101YM0800X |
| Practice location | 638 Palmwood Ln, Las Vegas, NV 89123 |
| Practice phone | 702-785-8633 |
| Enumerated | October 29, 2014 |
| Last updated | October 29, 2014 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Mental Health primary | 101YM0800X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.