Individual
KELLY WHITLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8548 SWEET CEDAR AVE, LAS VEGAS, NV 89143-5186
(702) 403-8759
Mailing address
8548 SWEET CEDAR AVE, LAS VEGAS, NV 89143-5186
(702) 403-8759
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/19/2014
Last updated
08/19/2014
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