Individual
TANEISHA DANYELE FELONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
532 COLLEGE DR, 312, HENDERSON, NV 89015-7525
(702) 927-0102
Mailing address
532 COLLEGE DR, 312, HENDERSON, NV 89015-7525
(702) 927-0102
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
12/09/2013
Last updated
08/07/2019
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