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Organization

PROJECT WELLNESS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KIM BLAND MFT; CPC (THERAPIST)
(702) 321-3789
Entity
Organization

Contact information

Practice address
8224 W CHARLESTON BLVD, #1, LAS VEGAS, NV 89117-9096
(702) 622-1105
Mailing address
8224 W CHARLESTON BLVD, #1, LAS VEGAS, NV 89117-9096
(702) 622-1105

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
01197
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
106H00000X
NV
Enumeration date
01/26/2015
Last updated
01/26/2015
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