Provider Demographics
NPI:1548918725
Name:PEREZ, PAOLA GIULIANA (BA , CADC-I)
Entity type:Individual
Prefix:
First Name:PAOLA
Middle Name:GIULIANA
Last Name:PEREZ
Suffix:
Gender:F
Credentials:BA , CADC-I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8708 RAINDROP CANYON AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89129-7666
Mailing Address - Country:US
Mailing Address - Phone:702-901-3544
Mailing Address - Fax:
Practice Address - Street 1:2675 S JONES BLVD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146-5609
Practice Address - Country:US
Practice Address - Phone:702-951-9751
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-16
Last Update Date:2022-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV06680-I101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty