Individual
BERNADINE BOUKNIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1050 E CACTUS AVE, 1042, LAS VEGAS, NV 89183-7364
(804) 721-6919
Mailing address
1050 E CACTUS AVE, 1042, LAS VEGAS, NV 89183-7364
(804) 721-6919
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/30/2014
Last updated
04/30/2014
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