Individual
BENAEL JOHN-ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8685 S EASTERN AVE, LAS VEGAS, NV 89123-2839
(702) 754-0807
Mailing address
8685 S EASTERN AVE, LAS VEGAS, NV 89123-2839
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1705288917
NV
Other
Enumeration date
12/14/2015
Last updated
12/14/2015
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