Provider Demographics
NPI:1073106696
Name:ALBRIGHT, CLINT
Entity Type:Individual
Prefix:
First Name:CLINT
Middle Name:
Last Name:ALBRIGHT
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:CLINT
Other - Middle Name:
Other - Last Name:ALBRIGHT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CLINT ALBRIGHT MFT-I
Mailing Address - Street 1:7310 SMOKE RANCH RD
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89128-0258
Mailing Address - Country:US
Mailing Address - Phone:702-456-4262
Mailing Address - Fax:
Practice Address - Street 1:7310 SMOKE RANCH RD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128-0258
Practice Address - Country:US
Practice Address - Phone:702-456-4262
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-15
Last Update Date:2021-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVMI3147106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist