Individual
AMANDA WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6171 W CHARLESTON BLVD, LAS VEGAS, NV 89146-1126
(702) 486-7667
Mailing address
4596 EUREKA ST, LAS VEGAS, NV 89103-4517
(702) 237-4925
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/17/2010
Last updated
11/17/2010
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