Individual
DEBRETTA MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10250 SPENCER ST APT 1051, LAS VEGAS, NV 89183-6904
(951) 259-2699
Mailing address
10250 SPENCER ST APT 1051, LAS VEGAS, NV 89183-6904
(951) 259-2699
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0
—
NV
Enumeration date
07/09/2016
Last updated
07/09/2016
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