Organization
EVER EVOLVING COUNSELING CENER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDYE REANEZE MARSHALL LADC (MANAGER)
(702) 523-8106
Entity
Organization
Contact information
Practice address
5135 CAMINO AL NORTE, N LAS VEGAS, NV 89031-2387
(702) 329-1716
Mailing address
5135 CAMINO AL NORTE, N LAS VEGAS, NV 89031-2387
(702) 329-1716
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LADC 1273
NV
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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