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Individual

PATRICIA HANISEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2360 W HORIZON RIDGE PKWY, STE 120, HENDERSON, NV 89052-5076
(702) 294-0433
Mailing address
2360 W HORIZON RIDGE PKWY, STE 120, HENDERSON, NV 89052-5076
(702) 294-0433

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
84732
CA
101YM0800X
Mental Health Counselor
IP150608001
NV

Other

Enumeration date
04/27/2015
Last updated
07/07/2015
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