Individual ProviderChristina Rae KaganCounselorBehavioral Health & Social Service ProvidersPractice Address6171 W Charleston Blvd # 16, Las Vegas, NV 89146-1126(702) 486-0458PECOS EnrollmentBased on the most recent information from CMS, provider Christina Rae Kagan does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1356766976Provider TypeIndividualFull NameKagan, Christina RaeTitleMrs.GenderFemaleSole ProprietorNoEnumeration Date2/19/2014Last Updated2/19/2014Contact InformationPractice LocationPractice Address6171 W Charleston Blvd # 16, Las Vegas, NV 89146-1126Phone(702) 486-0458Fax(702) 486-8029Mailing LocationMailing Address6171 W Charleston Blvd # 16, Las Vegas, NV 89146-1126Phone(702) 486-0458Fax(702) 486-8029Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer