Healthcare Provider Details
I. General information
NPI: 1760555031
Provider Name (Legal Business Name): YI-LING LINDA KUO-RICE PHD, CPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 11/16/2006
Last Update Date: 12/30/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6655 W SAHARA AVE B200-131
LAS VEGAS NV
89146-0842
US
IV. Provider business mailing address
3813 LARKCREST ST
LAS VEGAS NV
89129-7069
US
V. Phone/Fax
- Phone: 702-418-6036
- Fax:
- Phone: 269-267-7978
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | 180006677 |
| License Number State | IL |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | CP0005 |
| License Number State | NV |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101Y00000X |
| Taxonomy | Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: