Individual
RANDELL ALLEN KOHBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7465 W LAKE MEAD BLVD STE 103, LAS VEGAS, NV 89128-1032
(702) 562-1293
Mailing address
505 E WINDMILL LN STE 1C, LAS VEGAS, NV 89123-1870
(702) 798-3356
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/19/2022
Last updated
03/19/2022
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