Organization
ABC THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KARLA LANDERO (EXECUTIVE ADMINISTRATOR)
(702) 598-2020
Entity
Organization
Contact information
Practice address
730 N EASTERN AVE STE 130, LAS VEGAS, NV 89101-2885
(702) 598-2020
Mailing address
730 N EASTERN AVE STE 130, LAS VEGAS, NV 89101-2885
(702) 598-2020
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
00922
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CADC-I00922
CERTIFIED SUBSTANCE ABUSE COUNSELOR
NV
Enumeration date
04/08/2011
Last updated
04/08/2011
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