# WITHERS FOR WARRIORS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891269437
- **Authorized official:** JESSIE KUNTZ (FOUNDER/OWNER)
- **Authorized official phone:** (702) 763-7377

## Contact information

- **Practice address:** 2134 N GATEWAY RD, LAS VEGAS, NV 89115-5304
- **Practice address phone:** (702) 763-7377
- **Mailing address:** 2134 N GATEWAY RD, LAS VEGAS, NV 89115-5304
- **Mailing address phone:** (702) 763-7377

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 103TB0200X | Cognitive & Behavioral Psychologist | — | NULL | — |
| 103TB0200X | Cognitive & Behavioral Psychologist | — | — | — |
| 103TC1900X | Counseling Psychologist | — | NULL | — |
| 103TC1900X | Counseling Psychologist | — | — | — |
| 103TP2701X | Group Psychotherapy Psychologist | — | NULL | — |
| 103TP2701X | Group Psychotherapy Psychologist | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | — |
| 106H00000X | Marriage & Family Therapist | — | — | — |

## Other

- **Enumeration date:** 01/16/2019
- **Last updated:** 01/16/2019