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62 E Serene Ave Unit 425 Las Vegas NV 89123-7800 | |
| (408) 230-6242 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 62 E Serene Ave, Las Vegas, Nevada |
| Authorized Official Name and Position | Halleh Seddighzadeh (FORENSIC TRAUMATOLOGIST) |
| Authorized Official Contact | 4082306242 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
62 E Serene Ave Unit 425 Las Vegas NV 89123-7800 Ph: (408) 230-6242 | 62 E Serene Ave Unit 425 Las Vegas NV 89123-7800 Ph: (408) 230-6242 |
| NPI Number | 1477979763 |
|---|---|
| Provider Enumeration Date | 03/11/2014 |
| Last Update Date | 03/11/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477979763 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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