Individual
GWENDOLYN TERESE GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1649 WEST HORIZON RIDGE PARKWAY, SUITE 130, HENDERSON, NV 89052-5080
(702) 930-5958
(702) 796-9490
Mailing address
PO BOX 620251, LAS VEGAS, NV 89162-0251
(702) 930-5958
(702) 796-9490
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MI0633
NV
390200000X
Student in an Organized Health Care Education/Training Program
MI0633
NV
Other
Enumeration date
01/26/2016
Last updated
01/26/2016
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