Individual
MR. BERNARD TAVONE RISCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5000 INDIAN RIVER DR, BUILDING 244 APT. 481, LAS VEGAS, NV 89103-5294
(215) 796-7901
Mailing address
5000 INDIAN RIVER DR, BUILDING 244 APT. 481, LAS VEGAS, NV 89103-5294
(215) 796-7901
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/06/2015
Last updated
05/06/2015
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