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NPI Code Detail

MEDICARE: BRIAN W EACH LMFT, LADC

MEDICARE: BRIAN W EACH LMFT, LADC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist4123NV

General Provider Information

NPI Number : 1841576618
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIAN W EACH LMFT, LADC
Provider Business Mailing Address
First Line : 3900 W CHARLESTON BLVD
Second Line : SUITE 170
City : LAS VEGAS
State : NV
Zip : 89102-1628
Country : US
Telephone Number : 702-453-4673
Fax Number :
Provider Business Practice Location Address
First Line : 5412 BOULDER HWY
Second Line :
City : LAS VEGAS
State : NV
Zip : 89122-6039
Country : US
Telephone Number : 702-291-7121
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2011
Last Update Date : 02/16/2024

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Directions to “ BRIAN W EACH LMFT, LADC” Practice Location

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