CHRISTINE G KAKAVULIAS NPI 1720343536

NPI Information

NPI: 1720343536
Provider Name: CHRISTINE G KAKAVULIAS
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
5130 S PECOS RD
SUITE 2B
LAS VEGAS, NV
ZIP 89120
Phone: (702) 900-7397
Get Directions

Christine G Kakavulias is a mental health counselor in Las Vegas, NV. Christine G Kakavulias NPI is 1720343536. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5130 S PECOS RD
SUITE 2B
LAS VEGAS, NV
ZIP 89120-248
Phone: (702) 900-7397
Fax: (888) 753-3302

The enumeration date for this NPI number is 7/8/2012 and was last updated on 7/8/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	90-0837799	NEVADA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	90-0837799	MEDICAID	NEVADA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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