Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YP1600X | Pastoral Counselor | 242158- LIC. MIN. | CA |
N | 101YP2500X | Professional Counselor | 6401000336-LPC | MI |
N | 101YP2500X | Professional Counselor | NCC-266910 | NC |
NPI | 1215206115 |
---|---|
Provider Name | Cindy L. Hanks |
First Address | Las Vegas, NV 89104-3211 |
Second Address | Las Vegas, NV 89104-3211 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/12/2011 |
Last Update Date | 21/12/2011 |