NPI 1265196323 · live from the CMS NPI Registry
Thor Anderson
Marriage & Family Therapist in Las Vegas, NV. National Provider Identifier 1265196323, active.
NPI record
| NPI | 1265196323 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Marriage & Family Therapist 106H00000X |
| Practice location | 50 N Honolulu St Apt 110, Las Vegas, NV 89110 |
| Practice phone | 702-470-7664 |
| Enumerated | October 26, 2021 |
| Last updated | October 26, 2021 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist primary | 106H00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.