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Organization

TAKING BACK HOPE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LYNNETTE JOHNSON M.A., MFT, LADC (EXECUTIVE DIRECTOR)
(702) 434-1564
Entity
Organization

Contact information

Practice address
1641 E FLAMINGO RD, SUITE 7, LAS VEGAS, NV 89119-5257
(702) 434-1564
Mailing address
1641 E FLAMINGO RD, SUITE 7, LAS VEGAS, NV 89119-5257
(702) 434-1564

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary

Other

Enumeration date
11/01/2012
Last updated
11/01/2012
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