Individual provider · Type 1 NPI
Samuel Coughtry
Mental Health Counselor · Las Vegas, NV
NPI number
1699197608
Active
Practice location
4630 White Rock Dr
Las Vegas, NV 89121-5908
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1699197608
Samuel Coughtry's National Provider Identifier is 1699197608, issued on Jan 9, 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 Jan 9, 2014.