Individual
QUINCY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3680 N RANCHO DR, LAS VEGAS, NV 89130-3180
(702) 646-5437
Mailing address
624 BURSTING SUN AVE, NORTH LAS VEGAS, NV 89032-8240
(510) 565-4211
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/17/2025
Last updated
03/17/2025
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