Individual
MALIEKA D TOSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
2000 S EASTERN AVE STE N, LAS VEGAS, NV 89104-4100
(702) 714-1739
Mailing address
104 RAPTORS VIEW AVE, N LAS VEGAS, NV 89031-6820
(702) 910-6912
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
06739-L
NV
101YM0800X
Mental Health Counselor
Primary
C15266
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033787205
—
NV
Enumeration date
06/15/2021
Last updated
05/01/2023
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