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7331 W Charleston Blvd Ste 140 Las Vegas NV 89117-1570 | |
| (360) 957-5898 | |
| (702) 489-7844 |
| Full Name | |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 7331 W Charleston Blvd Ste 140, Las Vegas, Nevada |
| Authorized Official Name and Position | Mary Vander Veer (LCPC/OWNER) |
| Authorized Official Contact | 3609575898 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
7331 W Charleston Blvd Ste 140 Las Vegas NV 89117-1570 Ph: (360) 957-5898 | 7331 W Charleston Blvd Ste 140 Las Vegas NV 89117-1570 Ph: (360) 957-5898 |
| NPI Number | 1316535347 |
|---|---|
| Provider Enumeration Date | 01/05/2021 |
| Last Update Date | 07/13/2021 |
| Certification Date | 07/13/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316535347 | NPI | - | NPPES |
| 2054842 | Medicaid | WA | |
| 1801149745 | Medicaid | NV |
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