Individual
MRS. MELISSA DALE WADSWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFTI
Contact information
Practice address
3529 DOVER BAY ST, LAS VEGAS, NV 89129-2131
(702) 485-9917
Mailing address
3529 DOVER BAY ST, LAS VEGAS, NV 89129-2131
(702) 485-9917
(702) 982-6888
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
M10548
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194024752
—
NV
Enumeration date
03/22/2011
Last updated
04/09/2019
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