Individual
STEPHANIE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
911 G ST, LAS VEGAS, NV 89106-3313
(702) 888-2312
Mailing address
3981 WEYBRIDGE DR, LAS VEGAS, NV 89121-4856
(702) 888-2312
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
106S00000X
Behavior Technician
—
—
174200000X
Meals Provider
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
02/18/2018
Last updated
05/31/2019
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