Individual
PHILIP WILLIAM ANASTASIA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5510 S FORT APACHE RD STE 12, LAS VEGAS, NV 89148-7700
(805) 616-7676
Mailing address
9286 MARTEL AVE, LAS VEGAS, NV 89148-5049
(805) 616-7676
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MI0934
NV
Other
Enumeration date
12/21/2018
Last updated
12/21/2018
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