Organization
JUNIPER CONSULTING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY WATERS LCSW, LMFT, LADC (DIRECTOR)
(702) 497-0447
Entity
Organization
Contact information
Practice address
7360 W FLAMINGO RD, LAS VEGAS, NV 89147-5404
(702) 684-7850
(702) 538-9500
Mailing address
9811 W CHARLESTON BLVD, SUITE 2-345, LAS VEGAS, NV 89117-7528
(702) 684-7850
(702) 538-9500
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
NV20111757251
NV
Other
Enumeration date
09/07/2012
Last updated
09/07/2012
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