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General NPI Number Information
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NPI Number | 1760931729
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Entity Type | Individual
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Provider Name | ASHIA Y MCREYNOLDS LMFT, LCADCI
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Gender | Female
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Dates
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Enumeration Date | 09/30/2016
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Last Update Date | 11/17/2020
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Provider Practice Location Address
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Address Line | 2840 E. FLAMINGO ROAD SUITE A
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City | LAS VEGAS
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State | NV
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Zip | 89121
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Country | US
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Telephone | 702-578-4505
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Fax | 702-940-7599
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Provider Business Mailing Address
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Address Line | 9850 S MARYLAND PKWY STE A5-389
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City | LAS VEGAS
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State | NV
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Zip | 89183-7146
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Country | US
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Telephone | 702-578-4505
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Fax | 702-940-7599
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 2569
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 00574-LC
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License Number State | NV
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