| Wandering Pine Wellness Pllc | |
|
2620 Regatta Dr Ste 102 Las Vegas NV 89128-6892 | |
| (206) 501-1189 | |
| Not Available |
| Full Name | Wandering Pine Wellness Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2620 Regatta Dr Ste 102, Las Vegas, Nevada |
| Authorized Official Name and Position | Kerry Mccarthy (CO-OWNER) |
| Authorized Official Contact | 3032104238 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wandering Pine Wellness Pllc 100 N Howard St # 5241 Spokane WA 99201-0508 Ph: () - | Wandering Pine Wellness Pllc 2620 Regatta Dr Ste 102 Las Vegas NV 89128-6892 Ph: (206) 501-1189 |
| NPI Number | 1609699818 |
|---|---|
| Provider Enumeration Date | 11/05/2024 |
| Last Update Date | 11/05/2024 |
| Certification Date | 11/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609699818 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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