Individual
KIRILL KHOLODKOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8685 S EASTERN AVE, LAS VEGAS, NV 89123
(702) 754-0807
Mailing address
8685 S EASTERN AVE, LAS VEGAS, NV 89123-2839
(702) 754-0807
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
NV
225C00000X
Rehabilitation Counselor
—
—
Other
Enumeration date
04/25/2013
Last updated
08/26/2019
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