Individual
THONGSOUK VANNAVONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
375 N STEPHANIE ST STE 8, HENDERSON, NV 89014-8771
(702) 294-0433
Mailing address
276 TORNGATE AVE, HENDERSON, NV 89002-0106
(702) 810-4655
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CP5150-R
NV
Other
Enumeration date
07/26/2022
Last updated
07/26/2022
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