FANTASI PRIDGON NPI 1578907408

NPI Information

Fantasi Pridgon is a counselor in Las Vegas, NV. The provider is 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. Fantasi Pridgon NPI is 1578907408. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1555 E FLAMINGO RD STE 158
LAS VEGAS, NV
ZIP 89119-305
Phone: (702) 385-9097

The enumeration date for this NPI number is 4/22/2013 and was last updated on 4/22/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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