Individual
MISS LISA ANNETTE MALLINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICENSED MFT
Contact information
Practice address
7473 W LAKE MEAD BLVD STE 100, LAS VEGAS, NV 89128-0265
(702) 850-2833
Mailing address
7473 W LAKE MEAD BLVD # 100, LAS VEGAS, NV 89128-0265
(702) 497-8390
(702) 538-9148
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
01341
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093082430
—
NV
Enumeration date
11/30/2011
Last updated
02/05/2024
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