Individual
BETHSABE SURYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPC INTERN
Contact information
Practice address
3808 VINCELLI AVE, NORTH LAS VEGAS, NV 89031-4811
(702) 581-7130
Mailing address
3808 VINCELLI AVE, NORTH LAS VEGAS, NV 89031-4811
(702) 581-7130
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CI764
NV
Other
Enumeration date
11/04/2020
Last updated
11/04/2020
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