Organization
DISCOVERY MIND & WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL CHARLES STOLBERG IV M.S. (CLINICAN)
(702) 968-9372
Entity
Organization
Contact information
Practice address
2920 S JONES BLVD, #220, LAS VEGAS, NV 89146-5642
(702) 968-9372
Mailing address
2920 S JONES BLVD, #220, LAS VEGAS, NV 89146-5642
(702) 968-9372
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487997805
—
NV
Enumeration date
06/13/2016
Last updated
06/13/2016
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