Organization
49TH BRIDGE COUNSELING LLC
Active
Other names
49TH BRIDGE COUNSELING
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA M RONCO (MANAGER)
(907) 748-9890
Entity
Organization
Contact information
Practice address
213 N STEPHANIE ST STE G288, HENDERSON, NV 89074-8117
(907) 771-0536
(888) 467-5306
Mailing address
213 N STEPHANIE ST STE G288, HENDERSON, NV 89074-8117
(907) 771-0536
(888) 467-5306
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
07/10/2023
Last updated
07/10/2023
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