Individual
MR. SHANDY CHANCE MELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., LCPC, LCADC
Contact information
Practice address
2780 S JONES BLVD STE 100A, LAS VEGAS, NV 89146
(702) 820-3061
Mailing address
2662 RAINBOW RIVER DR, LAS VEGAS, NV 89142-3639
(702) 670-1665
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
00479-LC
NV
101YP2500X
Professional Counselor
Primary
CP0214
NV
Other
Enumeration date
06/25/2015
Last updated
07/07/2018
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