| Creative Counseling Services | |
|
1255 Waterloo Ln Gardnerville NV 89410-7403 | |
| (775) 671-5528 | |
| Not Available |
| Full Name | Creative Counseling Services |
|---|---|
| Speciality | Counselor |
| Location | 1255 Waterloo Ln, Gardnerville, Nevada |
| Authorized Official Name and Position | Shana Stirton (OWNER) |
| Authorized Official Contact | 7756715528 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creative Counseling Services 1255 Waterloo Ln Gardnerville NV 89410-7403 Ph: (775) 671-5528 | Creative Counseling Services 1255 Waterloo Ln Gardnerville NV 89410-7403 Ph: (775) 671-5528 |
| NPI Number | 1346762622 |
|---|---|
| Provider Enumeration Date | 07/08/2017 |
| Last Update Date | 01/05/2020 |
| Certification Date | 01/05/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346762622 | NPI | - | NPPES |
| 1346762622 | Medicaid | NV | |
| 1871867739 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
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