Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Andrea Khamvongsa

Individual provider Marriage & Family Therapist · NPI 1962102525

Andrea Khamvongsa is a Marriage & Family Therapist in Las Vegas, Nevada. Practices as a sole proprietor. Licensed in Nevada.

Licensed in
NV
In the registry since
2023

Practice location Address checks out

9644 Aqua Harbor Way
Las Vegas, NV 89178-2455
Phone: (702) 595-4167
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X (NV)

Record details

NPI number1962102525
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 3, 2023
Last updated in NPPESAugust 20, 2025
Certification dateAugust 20, 2025

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