Organization
PAULSEN CHANGE AGENT- THERAPY & COACHING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANYEL PAULSEN (OWNER)
(213) 215-7670
Entity
Organization
Contact information
Practice address
7401 W CHARLESTON BLVD STE 1-124, LAS VEGAS, NV 89117-1401
(213) 215-7670
Mailing address
848 N RAINBOW BLVD STE 312, LAS VEGAS, NV 89107-1103
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/24/2025
Last updated
12/05/2025
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