Individual
NICHOLE MICHELLE MCDERMOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC-I
Contact information
Practice address
2121 W CHARLESTON BLVD, LAS VEGAS, NV 89102-2205
(702) 382-7746
Mailing address
2121 W CHARLESTON BLVD, LAS VEGAS, NV 89102-2205
(702) 382-7746
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
08120-I
NV
172V00000X
Community Health Worker
CHW1-6217
NV
175T00000X
Peer Specialist
PRSS-5215
NV
390200000X
Student in an Organized Health Care Education/Training Program
08120-I
NV
Other
Enumeration date
05/07/2025
Last updated
04/22/2026
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