NPI 1124325576 · live from the CMS NPI Registry
Samuel H Agulian, M.A.
Counselor, Mental Health in Las Vegas, NV. National Provider Identifier 1124325576, active.
NPI record
| NPI | 1124325576 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Counselor, Mental Health 101YM0800X |
| Practice location | 2820 W Charleston Blvd, C-23, Las Vegas, NV 89102 |
| Practice phone | 702-437-4673 |
| Mailing address | 316 Winery Ridge St, Las Vegas, NV 89144 |
| Enumerated | February 22, 2011 |
| Last updated | February 22, 2011 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Mental Health primary | 101YM0800X | — |
| Behavior Analyst | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.