Provider Demographics
NPI:1861230880
Name:DOLEMBO, KARI DANIELLE (MFT-I)
Entity type:Individual
Prefix:
First Name:KARI
Middle Name:DANIELLE
Last Name:DOLEMBO
Suffix:
Gender:F
Credentials:MFT-I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:820 ROYAL ELM LN
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89144-1420
Mailing Address - Country:US
Mailing Address - Phone:517-290-4744
Mailing Address - Fax:
Practice Address - Street 1:820 ROYAL ELM LN
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89144-1420
Practice Address - Country:US
Practice Address - Phone:517-290-4744
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-15
Last Update Date:2024-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVMI4396106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist