Althea Fennell

NPI #1639121817 in Las Vegas, Nevada

Provider Information

NPI Number: 1639121817
Entity Type: Individual
Name: Althea Fennell
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Counselor
Enumeration Date: May 16, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 4000 E CHARLESTON BLVD
Address 2: STE A230
City: Las Vegas
State: Nevada
ZIP Code: 89104-6659
Phone: (702) 968-4000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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