Individual
LISA GENTRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4003 IRVIN AVE, LAS VEGAS, NV 89141-3427
(702) 339-9940
Mailing address
4003 IRVIN AVE, LAS VEGAS, NV 89141-3427
(702) 339-9940
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/02/2010
Last updated
05/09/2011
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