| A Clean Slate Counseling Llc | |
|
5785 Centennial Center Blvd Ste 240 Las Vegas NV 89149-7108 | |
| (702) 469-2061 | |
| Not Available |
| Full Name | A Clean Slate Counseling Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 5785 Centennial Center Blvd Ste 240, Las Vegas, Nevada |
| Authorized Official Name and Position | Bryant Murphy (OWNER) |
| Authorized Official Contact | 7024692061 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Clean Slate Counseling Llc 5785 Centennial Center Blvd Ste 240 Las Vegas NV 89149-7108 Ph: (702) 469-2061 | A Clean Slate Counseling Llc 5785 Centennial Center Blvd Ste 240 Las Vegas NV 89149-7108 Ph: (702) 469-2061 |
| NPI Number | 1073117933 |
|---|---|
| Provider Enumeration Date | 11/22/2020 |
| Last Update Date | 02/15/2023 |
| Certification Date | 02/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073117933 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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