Individual
MEAGEN DOUCETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPC INTERN
Contact information
Practice address
2445 FIRE MESA ST STE 190, LAS VEGAS, NV 89128-9015
(702) 456-4262
Mailing address
2647 GOOD FELLOWS ST, LAS VEGAS, NV 89135-2606
(702) 456-4262
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CI5691
NV
101YM0800X
Mental Health Counselor
—
—
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
—
—
225400000X
Rehabilitation Practitioner
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
390200000X
—
CA
Enumeration date
07/01/2021
Last updated
03/10/2026
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