Individual
LAVISHA BURNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3580 E ALEXANDER RD APT 1074, LAS VEGAS, NV 89115-0293
(702) 622-1905
Mailing address
3580 E ALEXANDER RD APT 1074, LAS VEGAS, NV 89115-0293
(702) 622-1905
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/27/2014
Last updated
10/27/2014
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