Individual
SHANNON M. GILLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2470 SAINT ROSE PKWY STE 302, HENDERSON, NV 89074-7776
(702) 808-8141
Mailing address
2523 APRIL BREEZE LN, HENDERSON, NV 89002-9359
(702) 581-5357
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CI5097
NV
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
26-4620648
NV
Other
Enumeration date
11/16/2011
Last updated
04/29/2022
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