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Individual

ANITA STAR ROGHANIAN THORNTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
401 RYLAND ST STE 200A, RENO, NV 89502-1643
(702) 331-4874
Mailing address
6521 TAFFRAIL AVE, LAS VEGAS, NV 89118-1918
(702) 808-2363

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
4981
NV
106H00000X
Marriage & Family Therapist
MI4204
NV
106S00000X
Behavior Technician
1003485046
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1003485046
NV
Enumeration date
06/23/2021
Last updated
02/27/2025
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