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NPI Code Detail

MEDICARE: DIANE ALLISON D'AMORE MFT

MEDICARE:   DIANE ALLISON D'AMORE  MFT
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
1101YM0800XMental Health CounselorMFT0806NV

General Provider Information

NPI Number : 1114080850
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIANE ALLISON D'AMORE MFT
Provider Business Mailing Address
First Line : 6924 HAWAIIAN SKY CT
Second Line :
City : LAS VEGAS
State : NV
Zip : 89131-1026
Country : US
Telephone Number : 702-838-0132
Fax Number : 702-435-4460
Provider Business Practice Location Address
First Line : 7331 W CHARLESTON BLVD
Second Line : SUITE 130
City : LAS VEGAS
State : NV
Zip : 89117-1570
Country : US
Telephone Number : 702-838-0132
Fax Number : 702-435-4460
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/17/2006
Last Update Date : 07/08/2007

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Directions to “ DIANE ALLISON D'AMORE MFT” Practice Location

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