MEDICARE: ALL ABOUT YOU COUNSELING AND SUPPORT SERVICES

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	1041C0700X	Clinical Social Worker	IC-587	NV

General Provider Information

NPI Number	:	1316272768
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALL ABOUT YOU COUNSELING AND SUPPORT SERVICES

Provider Business Mailing Address
First Line	:	6070 S EASTERN AVE STE 200
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-3169
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6070 S EASTERN AVE STE 200
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-3169
Country	:	US
Telephone Number	:	702-292-3774
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	DR. TONIE VALESANO
Credential	:
Telephone Number	:	702-292-3774

Provider Enumeration Date	:	10/02/2009
Last Update Date	:	10/02/2009

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