Individual
KIMBERLEA W TOWNSEND-LAFASTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
4315 HELAMAN AVE., LAS VEGAS, NV 89120
(702) 801-6431
Mailing address
2657 WINDMILL PKWY, HENDERSON, NV 89074-3384
(702) 801-6431
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
01274
NV
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251B00000X
—
NV
Enumeration date
12/02/2024
Last updated
12/02/2024
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