Organization
HALE KOA COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA VENDEIRO LCSW (CLINICAL THERAPIST/OWNER)
(702) 439-3215
Entity
Organization
Contact information
Practice address
4045 SPENCER ST STE A48, LAS VEGAS, NV 89119-5245
(702) 439-3215
Mailing address
4045 SPENCER ST STE A48, LAS VEGAS, NV 89119-5245
(702) 439-3215
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/17/2022
Last updated
05/17/2022
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