Organization
EVERGREEN COUNSELING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS C WAGNER LCSW (CLINICAL DIRECTOR)
(702) 248-6290
Entity
Organization
Contact information
Practice address
5300 W SAHARA AVE, SUITE 104, LAS VEGAS, NV 89146-0353
(702) 248-6290
(702) 248-4720
Mailing address
5300 W SAHARA AVE, SUITE 104, LAS VEGAS, NV 89146-0353
(702) 248-6290
(702) 248-4720
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
01761-C
NV
Other
Enumeration date
04/17/2007
Last updated
08/22/2020
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