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Organization

A.C.T. COUNSELING CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DARRYL HENDERSON L.C.S.W. (OWNER)
(702) 823-3085
Entity
Organization

Contact information

Practice address
5728 EMERALD VIEW ST., LAS VEGAS, NV 89130-9900
(702) 823-3085
(702) 823-3085
Mailing address
5728 EMERALD VIEW ST, LAS VEGAS, NV 89130-1562
(702) 823-3085
(702) 823-3085

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
4556-C
NV
1041C0700X
Clinical Social Worker
NV20101147210
NV
1041C0700X
Clinical Social Worker
Primary
NV20131070050
NV

Other

Enumeration date
10/27/2011
Last updated
08/30/2016
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