person
Gustavo Cancino
Peer Specialist in Las Vegas, Nevada
NPI 1124527551

Gustavo Cancino is a Peer Specialist based in Las Vegas, NV. Gustavo Cancino practices in Las Vegas, NV. The NPI Number for Gustavo Cancino is 1124527551 and holds a License No. (Nevada).

The current practice location address for Gustavo Cancino is 1640 Alta Dr Ste 4, Las Vegas, NV and can be reached out via phone at 702-474-6450 and via fax at 702-474-6463.

Location: 1640 Alta Dr Ste 4, Las Vegas, NV, 89106-4165
person
Provider Profile Details
NPI Number
1124527551
Provider Name
Gustavo Cancino
Credential
Provider Entity Type
Individual
Gender
Male
Address
1640 Alta Dr Ste 4, Las Vegas, NV, 89106-4165
Phone Number
702-474-6450
Fax Number
702-474-6463
Provider Enumeration Date
02/12/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1640 Alta Dr Ste 4
City
State
Zip
89106-4165
Phone Number
702-474-6450
Fax Number
702-474-6463
person
Provider Business Mailing Address Details
Address
1640 Alta Dr Ste 4
City
State
Zip
89106-4165
Phone Number
702-474-6450
Fax Number
702-474-6463
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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