Organization
NISWONGER PSYCHOLOGICAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JODI NISWONGER LCSW (OWNER)
(702) 768-2950
Entity
Organization
Contact information
Practice address
7495 W AZURE DR, SUITE #204, LAS VEGAS, NV 89130-4416
(702) 768-2950
Mailing address
7495 W AZURE DR, SUITE #204, LAS VEGAS, NV 89130-4416
(702) 768-2950
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5436-C
NV
Other
Enumeration date
01/24/2013
Last updated
01/24/2013
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