Individual
SHATANA SHANICE HARRIS-COBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5332 MOUNTAIN GARLAND LN, N LAS VEGAS, NV 89081
(661) 466-8500
Mailing address
5332 MOUNTAIN GARLAND LN, NORTH LAS VEGAS, NV 89081-4034
(661) 466-8500
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
103K00000X
Behavior Analyst
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C10297
COUNSELOR LICENSE
NV
01
—
CP5125
LCPC
NV
Enumeration date
12/02/2011
Last updated
01/19/2022
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