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NPI Code Detail

MEDICARE: DANTE ATHENA RICHMANN CPC INTERN

MEDICARE:   DANTE ATHENA RICHMANN  CPC INTERN
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 CounselorCI5346NV

General Provider Information

NPI Number : 1215702865
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANTE ATHENA RICHMANN CPC INTERN
Provider Business Mailing Address
First Line : 1607 E WINDMILL LN STE 300
Second Line :
City : LAS VEGAS
State : NV
Zip : 89123-1910
Country : US
Telephone Number : 702-757-8720
Fax Number :
Provider Business Practice Location Address
First Line : 2701 N TENAYA WAY STE 200
Second Line :
City : LAS VEGAS
State : NV
Zip : 89128-0480
Country : US
Telephone Number : 702-757-8720
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/22/2023
Last Update Date : 11/22/2023

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Directions to “ DANTE ATHENA RICHMANN CPC INTERN” Practice Location

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