Individual
EDWARD L FENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
3005 W HORIZON RIDGE PKWY, HENDERSON, NV 89052-5029
(702) 428-2870
Mailing address
3620 E CHABLIS N, PAHRUMP, NV 89048-4841
(702) 428-2870
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
7358-C
NV
Other
Enumeration date
08/01/2008
Last updated
02/28/2019
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