Organization
THERACOUNSEL NV, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IHAB ISSA MBA (DIRECTOR)
(954) 647-8578
Entity
Organization
Contact information
Practice address
11241 CAMPANILE ST, LAS VEGAS, NV 89141-6047
(727) 452-9885
Mailing address
2808 NE 22ND ST, FT LAUDERDALE, FL 33305-2804
(954) 647-8578
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6758-C
NV
Other
Enumeration date
08/20/2014
Last updated
08/20/2014
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