| Hale Koa Counseling Services Llc | |
|
4045 Spencer St Ste A48 Las Vegas NV 89119-5245 | |
| (702) 439-3215 | |
| Not Available |
| Full Name | Hale Koa Counseling Services Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4045 Spencer St Ste A48, Las Vegas, Nevada |
| Authorized Official Name and Position | Andrea Vendeiro (CLINICAL THERAPIST/OWNER) |
| Authorized Official Contact | 7024393215 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hale Koa Counseling Services Llc 4045 Spencer St Ste A48 Las Vegas NV 89119-5245 Ph: (702) 439-3215 | Hale Koa Counseling Services Llc 4045 Spencer St Ste A48 Las Vegas NV 89119-5245 Ph: (702) 439-3215 |
| NPI Number | 1083351407 |
|---|---|
| Provider Enumeration Date | 05/17/2022 |
| Last Update Date | 05/17/2022 |
| Certification Date | 05/17/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083351407 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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