Individual
MS. JOYCE KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
1640 ALTA DR STE 4, LAS VEGAS, NV 89106-4165
(702) 474-6450
(702) 474-6463
Mailing address
1640 ALTA DR STE 4, LAS VEGAS, NV 89106-4165
(702) 474-6450
(702) 474-6463
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
02071-I
NV
106H00000X
Marriage & Family Therapist
IMF73208
CA
106H00000X
Marriage & Family Therapist
Primary
MI0857
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740728716
—
NV
Enumeration date
05/06/2013
Last updated
03/28/2018
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