Individual
CODI DANYELL LINGENFELTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
401 S MARTIN LUTHER KING BLVD, LAS VEGAS, NV 89106-4313
(702) 385-3330
(702) 385-5519
Mailing address
401 S MARTIN LUTHER KING BLVD, LAS VEGAS, NV 89106-4313
(702) 385-3330
(702) 385-5519
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
05/15/2013
Last updated
07/29/2013
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