Individual
ANDREA KHAMVONGSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9644 AQUA HARBOR WAY, LAS VEGAS, NV 89178-2455
(702) 595-4167
Mailing address
9644 AQUA HARBOR WAY, LAS VEGAS, NV 89178-2455
(702) 595-4167
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NV
Other
Enumeration date
03/03/2023
Last updated
08/20/2025
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