Organization
PRACTICAL BALANCE COUNSELING, PLLC
Active
Other names
Mary Vander Veer
Organization subpart
No
Provider details
NPI number
Authorized official
MARY VANDER VEER MA (LCPC/OWNER)
(360) 957-5898
Entity
Organization
Contact information
Practice address
7331 W CHARLESTON BLVD STE 140, LAS VEGAS, NV 89117-1570
(360) 957-5898
(702) 489-7844
Mailing address
7331 W CHARLESTON BLVD STE 140, LAS VEGAS, NV 89117-1570
(360) 957-5898
(702) 489-7844
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801149745
—
NV
05
—
2054842
—
WA
Enumeration date
01/05/2021
Last updated
07/13/2021
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