Individual
RONALD D FAGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED
Contact information
Practice address
HARD KNOX REHABILITATION AND MENTORING SERVICE, 7473 W LAKE MEAD BLVD, LAS VEGAS, NV 89128
(702) 562-1288
Mailing address
8461 FARM RD STE 120, LAS VEGAS, NV 89131-8306
(215) 651-5654
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CP5312
NV
Other
Enumeration date
02/04/2009
Last updated
11/13/2024
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