Individual
THOR ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
50 N HONOLULU ST APT 110, LAS VEGAS, NV 89110-4312
(702) 470-7664
Mailing address
50 N HONOLULU ST APT 110, LAS VEGAS, NV 89110-4312
(702) 470-7664
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
10/26/2021
Last updated
10/26/2021
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