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Organization

BEACON ACADEMY OF NEVADA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GARY WATERS LEP LCSW LMFT LADC (SOCIAL/PSYCHOLOGICAL SERVICES)
(702) 497-0447
Entity
Organization

Contact information

Practice address
7360 W FLAMINGO RD, LAS VEGAS, NV 89147-5404
(702) 726-8600
Mailing address
9811 W CHARLESTON BLVD STE 2-345, LAS VEGAS, NV 89117-7528
(702) 726-8600

Taxonomy

Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary

Other

Enumeration date
10/09/2012
Last updated
10/09/2012
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