Individual
AINSLEY BANAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
8685 S EASTERN AVE, LAS VEGAS, NV 89123-2839
(702) 754-0807
Mailing address
10115 JEFFREYS ST APT 2156, LAS VEGAS, NV 89183-7922
(702) 858-3013
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
06869-I
NV
104100000X
Social Worker
Primary
11236-M
NV
Other
Enumeration date
02/07/2024
Last updated
02/07/2024
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