Shawnette Roque, CADC-I

NPI 1568808442 · on the registry since 2013

Practice

Address: 6431 W Sahara Ave Ste 200
Las Vegas, NV 89146
Phone: (702) 258-5855
Fax: (702) 258-9767
Organisation at this address: Family And Child Treatment
Ambassadore Health Care, Inc.
Family And Child Treatment (Fact)
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 16

Registry record

Primary taxonomy: 101YA0400X
101YA0400X
Licence states on file: NV
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2013-05-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nevada