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Organization
JENNA DI LAURO THERAPY
Active
Organization
JENNA DI LAURO THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGANNE CROWLEY (ASSISTANT)
(702) 523-2636
Entity
Organization
Contact information
Practice address
9414 W LAKE MEAD BLVD, LAS VEGAS, NV 89134-8312
(702) 983-0434
Mailing address
2629 HOTEL DE VILLE TER, HENDERSON, NV 89044-0423
(702) 983-0434
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/19/2017
Last updated
10/18/2021
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