Individual
MS. MELISSA LYNN GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3925 N MARTIN LUTHER KING #212, LAS VEGAS, NV 89032-7673
(702) 461-1982
Mailing address
3925 N MARTIN LUTHER KING #212, NORTH LAS VEGAS, NV 89032-7673
(702) 461-1982
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C1672
NV
225400000X
Rehabilitation Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336568641
—
NV
Enumeration date
04/15/2014
Last updated
08/24/2019
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