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6362 Mcleod Dr Ste 6 Las Vegas NV 89120-4433 | |
| (702) 483-1990 | |
| (702) 831-8812 |
| Full Name | |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 6362 Mcleod Dr Ste 6, Las Vegas, Nevada |
| Authorized Official Name and Position | Nicole L Mcdonagh (OWNER) |
| Authorized Official Contact | 7024831990 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
6362 Mcleod Dr Ste 6 Las Vegas NV 89120-4433 Ph: (702) 483-1990 | 6362 Mcleod Dr Ste 6 Las Vegas NV 89120-4433 Ph: (702) 483-1990 |
| NPI Number | 1447850144 |
|---|---|
| Provider Enumeration Date | 10/30/2020 |
| Last Update Date | 01/06/2025 |
| Certification Date | 01/06/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447850144 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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