Individual
LINDA SOUTHWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4180 S PECOS RD, LAS VEGAS, NV 89121-5074
(702) 486-6983
Mailing address
4180 S PECOS RD, LAS VEGAS, NV 89121-5074
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/29/2010
Last updated
10/29/2010
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