Individual
MR. ERIC WAYNE FORAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
9402 W LAKE MEAD BLVD, LAS VEGAS, NV 89134-8312
(702) 378-8809
(702) 254-7830
Mailing address
PO BOX 751243, LAS VEGAS, NV 89136-1243
(702) 343-0981
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2584
NV
Other
Enumeration date
05/15/2007
Last updated
07/25/2019
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