Individual
MRS. CAROLINE SUE IVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, M.ED
Contact information
Practice address
2780 S JONES BLVD STE 205, LAS VEGAS, NV 89146-5659
(702) 935-0025
(702) 935-0008
Mailing address
2780 S JONES BLVD STE 205, LAS VEGAS, NV 89146-5659
(702) 935-0025
(702) 935-0008
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CI5523
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250228-001242
—
NV
Enumeration date
06/12/2023
Last updated
05/13/2025
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