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Organization

MOUNTAIN VISTA WELLNESS GROUP LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KELVIN ANDERSON (OWNER)
(708) 537-6511
Entity
Organization

Contact information

Practice address
1953 BAYHURST AVE, NORTH LAS VEGAS, NV 89031-0751
(708) 537-6511
Mailing address
1953 BAYHURST AVE, NORTH LAS VEGAS, NV 89031-0751
(708) 537-6511

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
06/21/2019
Last updated
06/21/2019
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