Individual
BROOKLYNN TENNELLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5075 SPYGLASS HILL DR, 2041, LAS VEGAS, NV 89142-2776
(858) 254-6623
Mailing address
5075 SPYGLASS HILL DR, 2041, LAS VEGAS, NV 89142-2776
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/26/2013
Last updated
06/26/2013
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