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Wanda Howard

Counselor

Behavioral Health & Social Service Providers

420 Harrison Ave, Las Vegas, NV 89106-3015

PECOS Enrollment

Based on the most recent information from CMS, provider Wanda Howard does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1124532072
Provider Type
Individual
Full Name
Howard, Wanda
Title
Ms.

Gender
Female
Sole Proprietor
No
Enumeration Date
11/29/2017
Last Updated
6/16/2018

Contact Information

Practice Location

420 Harrison Ave, Las Vegas, NV 89106-3015

(702) 589-1057

Unlisted Fax

Mailing Location

420 Harrison Ave, Las Vegas, NV 89106-3015

(702) 589-1057

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer

Provider Identifiers

ID	Description	Issuer
ID 1104359488	Description Medicaid	Issuer Unlisted Nevada

Wanda Howard

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Martinez, Ashley

Ramirez, Guadalupe

Coleman, Curtis

Bryda, Anna M.

Mccarver, Michael Dubary

Stuckey, Skylar

Mcdonnell, Bill

Reed-Roy, Pammie Dentia

Maximumts

Perez, Cynthia Elizabeth