Individual
NICHELLE L SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21 W OWENS AVE, 134, NORTH LAS VEGAS, NV 89030-6817
(702) 399-5466
Mailing address
45 W OWENS AVE, 132, NORTH LAS VEGAS, NV 89030-6802
(702) 399-5466
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
880148782
NV
Other
Enumeration date
03/09/2012
Last updated
03/29/2012
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