Individual
TAMARA L CLEMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LSCSW, LCAC
Contact information
Practice address
6900 N PECOS RD, NORTH LAS VEGAS, NV 89086-4400
(702) 791-9000
Mailing address
10780 ROCKVALE FALLS AVE, LAS VEGAS, NV 89166-1247
(816) 808-9933
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
487
KS
1041C0700X
Clinical Social Worker
2012026487
MO
1041C0700X
Clinical Social Worker
4152
KS
1041C0700X
Clinical Social Worker
Primary
9287-C
NV
Other
Enumeration date
08/02/2012
Last updated
08/08/2023
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