Individual
MRS. KIMBERLY S. LANDERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISAC
Contact information
Practice address
730 N EASTERN AVE STE 100, LAS VEGAS, NV 89101-2885
(702) 598-2020
(702) 598-2018
Mailing address
730 N EASTERN AVE STE 100, LAS VEGAS, NV 89101-2885
(702) 598-2020
(702) 598-2018
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
00334-LC
NV
101YA0400X
Addiction (Substance Use Disorder) Counselor
10263
AZ
106H00000X
Marriage & Family Therapist
Primary
01344
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10263
LISAC
AZ
Enumeration date
02/02/2008
Last updated
07/25/2018
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