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Organization

HEALING LIGHT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. KANA NOOTENBOOM LICENSED MFT (CLINICAL DIRECTOR)
(949) 419-5491
Entity
Organization

Contact information

Practice address
2637 W HORIZON RIDGE PKWY STE 100, HENDERSON, NV 89052-4835
(702) 716-0908
(702) 550-4774
Mailing address
2637 W HORIZON RIDGE PKWY STE 100, HENDERSON, NV 89052-4835
(702) 716-0908
(702) 550-4774

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
101YP1600X
Pastoral Counselor
101YP2500X
Professional Counselor
101YS0200X
School Counselor
1041C0700X
Clinical Social Worker
106E00000X
Assistant Behavior Analyst
106H00000X
Marriage & Family Therapist
Primary
106S00000X
Behavior Technician
133N00000X
Nutritionist
133V00000X
Registered Dietitian

Other

Enumeration date
12/08/2020
Last updated
12/21/2020
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