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NPI 1780955625

NPI 1780955625 : CHRIS CATHEY LMFT : LAS VEGAS, NV

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General NPI Number Information
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    NPI Number           |    1780955625
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    Entity Type          |    Individual 
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    Provider Name        |    CHRIS CATHEY LMFT
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    01/24/2012
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    Last Update Date     |    05/08/2017
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Provider Practice Location Address
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    Address Line         |    1513 S EASTERN AVE 
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    City                 |    LAS VEGAS
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    State                |    NV
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    Zip                  |    89104-3916
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    Country              |    US
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    Telephone            |    702-917-4319
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    Fax                  |    702-710-6769
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Provider Business Mailing Address
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    Address Line         |    1430 HIALEAH DR APT C 
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    City                 |    LAS VEGAS
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    State                |    NV
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    Zip                  |    89119-6331
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    Country              |    US
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    Telephone            |    702-917-4319
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    Fax                  |    702-710-6769
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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       |    01407
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    License Number State |    NV
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