Individual
PHILLIP D SOLE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.M.T.,N.A.A.
Contact information
Practice address
5645 BRECKENRIDGE ST, NORTH LAS VEGAS, NV 89081-2421
(702) 937-5327
Mailing address
5645 BRECKENRIDGE ST, NORTH LAS VEGAS, NV 89081-2421
(702) 937-5327
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/08/2021
Last updated
07/08/2021
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