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Organization
WISHING WELL CHILD AND FAMILY THERAPY LLC
Active
Organization
WISHING WELL CHILD AND FAMILY THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
QINGFANG ZHANG LCSW (OWNER)
(702) 234-3559
Entity
Organization
Contact information
Practice address
1798 BRIDLEGATE AVE, HENDERSON, NV 89012-3253
(702) 234-3559
Mailing address
1798 BRIDLEGATE AVE, HENDERSON, NV 89012-3253
(702) 234-3559
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
6167-C
NV
106H00000X
Marriage & Family Therapist
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
03/12/2012
Last updated
03/12/2012
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