Individual
JANELLE N KAUPALOLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT INTERN
Contact information
Practice address
2921 N TENAYA WAY, LAS VEGAS, NV 89128-1409
(702) 942-1774
Mailing address
2921 N TENAYA WAY, LAS VEGAS, NV 89128-1409
(702) 942-1774
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MI2930
NV
Other
Enumeration date
07/30/2020
Last updated
01/28/2021
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