Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP1600X | Pastoral Counselor | NV |
NPI | 1336300755 |
---|---|
Provider Name | Leslie A Calianno |
First Address | Las Vegas, NV 89146-5627 |
Second Address | Las Vegas, NV 89146-5627 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/06/2008 |
Last Update Date | 18/06/2008 |