Individual
TANYA KAYE SAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2725 E DESERT INN RD STE 180, LAS VEGAS, NV 89121-3627
(702) 252-8342
Mailing address
605 VIALE MACHIAVELLI LN, HENDERSON, NV 89011-0841
(210) 618-2265
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NV
Other
Enumeration date
05/01/2018
Last updated
05/01/2018
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