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Organization

PROVIDER PROFILES, INC.

Active
Other names
Counseling Connections
Organization subpart
No

Provider details

NPI number
Authorized official
MS. OMEGA JODEAN GALLIANO MFT (VICE PRESIDENT)
(702) 258-5711
Entity
Organization

Contact information

Practice address
8350 W SAHARA AVE, SUITE 130, LAS VEGAS, NV 89117-8939
(702) 258-5711
(702) 258-1304
Mailing address
8350 W SAHARA AVE, SUITE 130, LAS VEGAS, NV 89117-8939
(702) 258-5711
(702) 258-1304

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0555
NV

Other

Enumeration date
01/12/2007
Last updated
08/22/2020
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