Individual
MS. SUZEN STOVER JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6600 W CHARLESTON BLVD, LAS VEGAS, NV 89146-9001
(702) 440-8440
Mailing address
1034 MISTY ROSE AVE, HENDERSON, NV 89074-8087
(505) 238-8724
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7150-C
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000Z3305
—
NM
Enumeration date
03/16/2007
Last updated
01/27/2023
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