Individual
MR. SAMUEL COUGHTRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4630 WHITE ROCK DR, LAS VEGAS, NV 89121-5908
(702) 376-7285
Mailing address
4630 WHITE ROCK DR, LAS VEGAS, NV 89121-5908
(702) 376-7285
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/09/2014
Last updated
01/09/2014
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