Individual
MICHAEL RAY TIBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5635 KANSAS AVE # 225, OMAHA, NE 68104-1226
(140) 296-0978
(402) 227-6491
Mailing address
2001 HOCUS POCUS PL, HENDERSON, NV 89002-3502
(702) 683-1334
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
—
NV
Other
Enumeration date
05/24/2023
Last updated
05/24/2023
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