MEDICARE: CLINT ALBRIGHT

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
1	106H00000X	Marriage & Family Therapist	MI3147	NV

General Provider Information

NPI Number	:	1073106696
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLINT ALBRIGHT

Provider Business Mailing Address
First Line	:	7310 SMOKE RANCH RD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-0258
Country	:	US
Telephone Number	:	702-456-4262
Fax Number	:

Provider Business Practice Location Address
First Line	:	7310 SMOKE RANCH RD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-0258
Country	:	US
Telephone Number	:	702-456-4262
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/15/2021
Last Update Date	:	02/15/2021

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Directions to “ CLINT ALBRIGHT ” Practice Location

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