Individual
MRS. KELLI LYNNE PAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2736 BASS LAKE ST, HENDERSON, NV 89052-3894
(702) 521-9124
Mailing address
2736 BASS LAKE ST, HENDERSON, NV 89052
(702) 521-9124
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/10/2016
Last updated
10/10/2016
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