| Von Diagnostic And Counseling,llc | |
|
4560 S Eastern Ave Suite 13 Las Vegas NV 89119-6182 | |
| (702) 613-7060 | |
| Not Available |
| Full Name | Von Diagnostic And Counseling,llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4560 S Eastern Ave, Las Vegas, Nevada |
| Authorized Official Name and Position | Phyllis Montavon (THERAPIST) |
| Authorized Official Contact | 7029170367 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Von Diagnostic And Counseling,llc 5172 Jewel Canyon Dr Las Vegas NV 89122-8328 Ph: (702) 917-0367 | Von Diagnostic And Counseling,llc 4560 S Eastern Ave Suite 13 Las Vegas NV 89119-6182 Ph: (702) 613-7060 |
| NPI Number | 1659749786 |
|---|---|
| Provider Enumeration Date | 09/06/2015 |
| Last Update Date | 09/06/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659749786 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LADC 01322-L (Nevada) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW 7031-C (Nevada) | Primary |
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