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Kenneth J Boone SR., MD-INTERN
Counselor in North Las Vegas, Nevada
NPI 1679346290

Kenneth J Boone SR. is a Counselor based in Las Vegas, NV. Kenneth J Boone SR. practices in North Las Vegas, NV and has the professional credentials of MD-INTERN. The NPI Number for Kenneth J Boone SR. is 1679346290 and holds a License No. CI5343 (Nevada).

The current practice location address for Kenneth J Boone SR. is 1703 Civic Center Dr Ste 5, North Las Vegas, NV and can be reached out via phone at 716-308-0228.

Location: 1703 Civic Center Dr Ste 5, North Las Vegas, NV, 89119
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679346290
Provider Name
Kenneth J Boone SR.
Credential
MD-INTERN
Provider Entity Type
Individual
Gender
Male
Address
1703 Civic Center Dr Ste 5, North Las Vegas, NV, 89119
Phone Number
716-308-0228
Fax Number
Provider Enumeration Date
11/06/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1703 Civic Center Dr Ste 5
City
North Las Vegas
State
Nevada
Zip
89030-7273
Phone Number
716-308-0228
Fax Number
person
Provider Business Mailing Address Details
Address
1703 Civic Center Dr Ste 5
City
North Las Vegas
State
Nevada
Zip
89030-7273
Phone Number
716-308-0228
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
CI5343 (Nevada)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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