Individual
KAILEY JIA XIN GRANSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MFT-I
Contact information
Practice address
3455 CLIFF SHADOWS PKWY STE 220, LAS VEGAS, NV 89129-1077
(702) 673-4745
Mailing address
9050 W WARM SPRINGS RD UNIT 1113, LAS VEGAS, NV 89148-3830
(203) 908-5365
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
4335
NV
Other
Enumeration date
04/16/2019
Last updated
11/07/2024
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