| NPI | 1104326438 |
|---|---|
| Doing Business As | INDEPENDENT COUNSELORS OF LAS VEGAS |
| Entity Type | Organization |
| Authorized Contact | LEONARD EUGENE DEFORGE Admin 027-778-9875 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2018-02-13 |
| Last Update Date | 2023-03-22 |