Individual
AMANDA DENYCE PARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3227 E WARM SPRINGS RD STE 300, LAS VEGAS, NV 89120-3180
(702) 222-0034
Mailing address
3227 E WARM SPRINGS RD STE 300, LAS VEGAS, NV 89120-3180
(702) 222-0034
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124317086
—
NV
Enumeration date
08/16/2019
Last updated
08/16/2019
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