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Individual

MR. ALLEN SHAMON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
8044 REDBUD VINE ST, NORTH LAS VEGAS, NV 89085-4455
(702) 556-9891
Mailing address
8044 REDBUD VINE ST, NORTH LAS VEGAS, NV 89085-4455
(702) 556-9891

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
11513-C
NV
101Y00000X
Counselor
227946
MA
101Y00000X
Counselor
4056
NH
101Y00000X
Counselor
44SC06362900
NJ
101Y00000X
Counselor
LC23465
ME
101Y00000X
Counselor
MBTSWO-45162
ID
101Y00000X
Counselor
TPSW4105
FL

Other

Enumeration date
12/14/2021
Last updated
12/01/2024
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