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Individual

ANNALISE CASTOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4455 ALLEN LN, NORTH LAS VEGAS, NV 89031-2204
(702) 385-1072
Mailing address
11028 MOUNT ROYAL AVE, LAS VEGAS, NV 89144-4484
(702) 501-1311

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
12/13/2024
Last updated
12/13/2024
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