Individual
ALYSSA FAITH VENTURA BRUNKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5043 BELL LOOP, LAS VEGAS, NV 89115-2940
(702) 738-9780
Mailing address
11237 GALLERY ECHO ST, LAS VEGAS, NV 89141-6052
(702) 738-9780
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
01/06/2010
Last updated
05/18/2022
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