Provider Demographics
NPI:1235583915
Name:COSAIN, SIREMIA
Entity Type:Individual
Prefix:
First Name:SIREMIA
Middle Name:
Last Name:COSAIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3655 W LAKE MEAD BLVD.
Mailing Address - Street 2:
Mailing Address - City:N LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89032
Mailing Address - Country:US
Mailing Address - Phone:702-487-5665
Mailing Address - Fax:702-463-5684
Practice Address - Street 1:2655 E DEER SPRINGS WAY APT 2061
Practice Address - Street 2:
Practice Address - City:N LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89086-1464
Practice Address - Country:US
Practice Address - Phone:702-335-9967
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-19
Last Update Date:2016-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor