Individual
DAMON LAVELL COHRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
459 SIERRA VISTA DR, 32, LAS VEGAS, NV 89169
(702) 859-3308
Mailing address
459 SIERRA VISTA DR, 32, LAS VEGAS, NV 89169
(702) 406-8727
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
07/06/2020
Last updated
07/06/2020
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