Individual
SAMUEL TIELEMANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9418 W LAKE MEAD BLVD, LAS VEGAS, NV 89134-8312
(702) 438-7800
Mailing address
8579 NATURE SCENE DR, LAS VEGAS, NV 89139-7048
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MI0515
NV
Other
Enumeration date
07/16/2014
Last updated
07/16/2014
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