Individual
MRS. LURLINE WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MFT-I
Contact information
Practice address
2820 W CHARLESTON BLVD, #23, LAS VEGAS, NV 89102-1942
(702) 437-4673
(702) 438-4673
Mailing address
2820 W CHARLESTON BLVD, #23, LAS VEGAS, NV 89102-1942
(702) 437-4673
(702) 438-4673
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
01255-L
NV
106H00000X
Marriage & Family Therapist
Primary
MI0765
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01255-L
LICENSED ALCOHOL AND DRUG COUNSELOR
NV
01
—
MI0222
MARRIAGE AND FAMILY INTERN
NV
Enumeration date
01/12/2011
Last updated
01/13/2020
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