Vickie L Pattillo, PEER SUPORT

NPI #1023858503 in Las Vegas, Nevada

Provider Information

NPI Number: 1023858503
Entity Type: Individual
Name: Vickie L Pattillo, PEER SUPORT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Credential: PEER SUPORT
Enumeration Date: May 30, 2024
Last Updated: May 30, 2024

Practice Location

Address: 3441 W SAHARA AVE STE C1
City: Las Vegas
State: Nevada
ZIP Code: 89102-6059
Phone: (702) 445-7318

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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