Individual
SUSSAN FUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3455 W CRAIG RD STE C, NORTH LAS VEGAS, NV 89032-5119
(702) 802-2011
Mailing address
3455 W CRAIG RD STE C, NORTH LAS VEGAS, NV 89032-5119
(702) 802-2011
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
12/04/2018
Last updated
09/01/2022
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