Judith Borges

Individual provider Active NPI Rehabilitation Counselor · Las Vegas, NV

NPI 1992193585 · NPPES record last updated Mar 2, 2015

Key facts

NPI
1992193585
Entity type
Individual (NPI type 1)
Primary specialty
Rehabilitation Counselor 225C00000X
License
90896-DOE LICENSE (NV)
Practice address
7770 Villa del Mar Ave
Las Vegas, NV 89131-1668
Phone
(702) 806-0374
NPI assigned
Jan 5, 2015
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
90896-DOE LICENSENVMDRehabilitation Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X NV
Rehabilitation Counselor 225C00000X 90896-DOE LICENSE NV Yes

Addresses

Primary practice location

7770 Villa del Mar Ave
Las Vegas, NV 89131-1668

Mailing address

7770 Villa del Mar Ave
Las Vegas, NV 89131-1668
Phone (702) 806-0374

Other providers in Las Vegas, NV

All providers in Las Vegas, NV · Rehabilitation Counselor in Nevada

Sources for this page

Verify at the official NPI Registry.