Individual
MISS NIKAY BASIRATU FOWORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8979 ELLENBROOK ST, LAS VEGAS, NV 89148-4981
(816) 405-2044
Mailing address
8979 ELLENBROOK ST, LAS VEGAS, NV 89148-4981
(816) 405-2044
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
101YMO800X
MO
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
01/08/2016
Last updated
06/10/2022
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