Provider Demographics
NPI:1013688985
Name:JUNCA, CARLY E (LCSW)
Entity Type:Individual
Prefix:
First Name:CARLY
Middle Name:E
Last Name:JUNCA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5460 W SAHARA AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89146-3307
Mailing Address - Country:US
Mailing Address - Phone:702-216-8924
Mailing Address - Fax:702-216-8950
Practice Address - Street 1:5460 W SAHARA AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146-3307
Practice Address - Country:US
Practice Address - Phone:702-216-8924
Practice Address - Fax:702-216-8950
Is Sole Proprietor?:No
Enumeration Date:2021-09-21
Last Update Date:2021-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical