Individual
MR. CLOURSE ANTHONY HARDY II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
7381 PRAIRIE FALCON RD, LAS VEGAS, NV 89128-0811
(702) 646-5437
Mailing address
7381 PRAIRIE FALCON RD, LAS VEGAS, NV 89128-0811
(702) 646-5437
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
102L00000X
Psychoanalyst
—
—
103K00000X
Behavior Analyst
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
12/30/2010
Last updated
04/22/2011
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