Individual
SHAYLA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6171 W CHARLESTON BLVD, LAS VEGAS, NV 89146-1126
(702) 486-7657
Mailing address
1012 WINDWALKER AVE, N LAS VEGAS, NV 89081-6661
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
225C00000X
Rehabilitation Counselor
Primary
—
—
Other
Enumeration date
02/14/2012
Last updated
07/11/2014
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