Bernard Tavone Risco
Counselor, Mental Health in Las Vegas, NV. Individual provider (NPI-1).
NPI number1003294331
StatusActive
Last updated in NPPESMay 6, 2015
Details
- NPI
- 1003294331
- Entity type
- Individual (NPI-1)
- Name
- Mr. Bernard Tavone Risco
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 6, 2015
- Last updated
- May 6, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
5000 Indian River DrBuilding 244 Apt. 481
Las Vegas, NV 89103-5294
Phone 215-796-7901
Mailing address
5000 Indian River DrBuilding 244 Apt. 481
Las Vegas, NV 89103-5294
Phone 215-796-7901
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