Individual
MELISSA BANNISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
911 N BUFFALO DR, LAS VEGAS, NV 89128-0379
(702) 942-1774
Mailing address
3253 N CAMPBELL RD, LAS VEGAS, NV 89129-6162
(702) 497-8035
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/24/2014
Last updated
05/24/2014
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