Individual
THERESE STANKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
916 N MAIN ST, LAS VEGAS, NV 89101-1931
(702) 202-6647
Mailing address
11319 LA MADRE RIDGE DR, LAS VEGAS, NV 89135-1829
(702) 528-7328
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
07042-1
NV
Other
Enumeration date
05/29/2025
Last updated
05/29/2025
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