| Kristine M Ping, Acsw, Lcsw Pc | |
|
865 Renaissance St Boulder City NV 89005-1223 | |
| (765) 404-6411 | |
| Not Available |
| Full Name | Kristine M Ping, Acsw, Lcsw Pc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 865 Renaissance St, Boulder City, Nevada |
| Authorized Official Name and Position | Kristine M. Ping (OWNER) |
| Authorized Official Contact | 7654046411 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kristine M Ping, Acsw, Lcsw Pc 865 Renaissance St Boulder City NV 89005-1223 Ph: (765) 404-6411 | Kristine M Ping, Acsw, Lcsw Pc 865 Renaissance St Boulder City NV 89005-1223 Ph: (765) 404-6411 |
| NPI Number | 1518375963 |
|---|---|
| Provider Enumeration Date | 07/29/2014 |
| Last Update Date | 03/31/2023 |
| Certification Date | 03/31/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518375963 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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