Individual provider · Type 1 NPI

Anthony Dastrup I

Mental Health Counselor · Las Vegas, NV

NPI number 1205233251 Active

Practice location

6877 W Charleston Blvd
Las Vegas, NV 89117-1600

Call (702) 331-4874 Map

Mailing address

1946 Tide Ct
Las Vegas, NV 89156-6963

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1205233251

Anthony Dastrup I's National Provider Identifier is 1205233251, issued on Nov 19, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Las Vegas, NV. The record was last updated on Nov 19, 2014.