Individual
KHALI KOETTING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6900 N PECOS RD, NORTH LAS VEGAS, NV 89086-4400
(702) 791-9000
Mailing address
6900 N PECOS RD, NORTH LAS VEGAS, NV 89086-4400
(702) 791-9000
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
7886-C
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
88-0321776
—
NV
05
—
88-0469530
—
NV
Enumeration date
05/06/2014
Last updated
08/24/2023
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