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Organization

LIBERTY BEHAVIORAL CONSULTANTS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MYESHA WILSON (COO)
(702) 768-3076
Entity
Organization

Contact information

Practice address
4760 S PECOS RD # 200-9, LAS VEGAS, NV 89121-5828
(702) 768-3076
Mailing address
4760 S PECOS RD # 200-9, LAS VEGAS, NV 89121-5828

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
06/29/2011
Last updated
06/29/2011
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