Individual
MS. NHU-TAM PHAM VILLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LCADC NCC
Contact information
Practice address
6375 W CHARLESTON BLVD, STE A-172, LAS VEGAS, NV 89146-1139
(702) 877-0684
(702) 877-2108
Mailing address
6375 W CHARLESTON BLVD, 172, LAS VEGAS, NV 89146-1139
(702) 877-0684
(702) 877-2108
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
217655
NV
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1146
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100500484
—
NV
01
—
1146 LADC
LADC LICENSE
NV
01
—
1146 LCDC
LICENSE
NV
01
—
3015
LICENSE
NV
01
—
NCC 217655
NV NATIOANL BOARD
NV
Enumeration date
03/26/2007
Last updated
09/15/2009
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