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Individual

MRS. JULIA IRENE KANNARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC, MS

Contact information

Practice address
400 SHADOW LN STE 106, LAS VEGAS, NV 89106-4355
(702) 731-0909
(702) 826-4757
Mailing address
8936 SPANISH RIDGE AVE, LAS VEGAS, NV 89148-1354
(702) 998-2816
(702) 998-2991

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CP1279-R
NV
101YP2500X
Professional Counselor
LPC17860
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1487115952
NV
Enumeration date
03/27/2019
Last updated
05/06/2020
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