Individual
TASHERRIAN EDMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
8945 W RUSSELL RD, LAS VEGAS, NV 89148-1224
(702) 476-9294
Mailing address
8945 W RUSSELL RD, LAS VEGAS, NV 89148-1224
(951) 213-1367
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C15012
NV
101YM0800X
Mental Health Counselor
Primary
CP5733
NV
Other
Enumeration date
07/12/2021
Last updated
03/26/2024
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