Mark Premselaar, MSW, LCSW

NPI 1518979889 · on the registry since 2006 · sole proprietor

Practice

Address: 780 Coronado Center Dr
Suite 110-A
Henderson, NV 89052
Phone: (702) 358-0464
Fax: (702) 506-0098
Organisation at this address: Jordanica Inc
Gem Personal Care L.L.C.
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Licence states on file: NV
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2010-10-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nevada