NPI 1013300888

Samuel Harris

Practitioner Counselor North Las Vegas, NV

Practice location

Address: 1829 Casa Verde Dr, North Las Vegas, NV 89031-5511
Phone: (702) 636-0337

Registered specialties

Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101Y00000X Licence 1403351346 (NV)

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Registry record

NPI: 1013300888
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Mar 2015
Record last updated: 18 Mar 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.