Organization
JIM GOINS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIM GOINS LCPC (PROFESSIONAL COUNSELOR)
(484) 868-0584
Entity
Organization
Contact information
Practice address
5420 W SAHARA AVE STE 102-6, LAS VEGAS, NV 89146-0394
(484) 868-0584
Mailing address
5420 W SAHARA AVE STE 102-6, LAS VEGAS, NV 89146-0394
(484) 868-0584
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
CP0128
NV
Other
Enumeration date
04/21/2016
Last updated
04/21/2016
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