Organization
WITHERS FOR WARRIORS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSIE KUNTZ (FOUNDER/OWNER)
(702) 763-7377
Entity
Organization
Contact information
Practice address
2134 N GATEWAY RD, LAS VEGAS, NV 89115-5304
(702) 763-7377
Mailing address
2134 N GATEWAY RD, LAS VEGAS, NV 89115-5304
(702) 763-7377
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
01/16/2019
Last updated
01/16/2019
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