Individual
MRS. MELINDA J WIAFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5851 W CHARLESTON BLVD, LAS VEGAS, NV 89146-1290
(702) 830-4029
(702) 250-2260
Mailing address
3157 N RAINBOW BLVD, #325, LAS VEGAS, NV 89108-4578
(918) 850-5100
(866) 757-5778
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
06763-LCS
NV
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
OK
101YM0800X
Mental Health Counselor
CPC0081
NV
101YM0800X
Mental Health Counselor
—
OK
101YP2500X
Professional Counselor
Primary
CP0081
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083929228
—
NV
Enumeration date
08/12/2010
Last updated
03/26/2025
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