Organization
CHRISTIAN COUNSELING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY BLIZZARD (MANAGING PARTNER)
(702) 248-4547
Entity
Organization
Contact information
Practice address
2723 E RUSSELL RD, LAS VEGAS, NV 89120-2426
(702) 248-4547
(702) 248-1942
Mailing address
2723 E RUSSELL RD, LAS VEGAS, NV 89120-2426
(702) 248-4547
(702) 248-1942
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/19/2008
Last updated
01/05/2010
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