Individual
MRS. BRANDEE NICOLE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT INTERN
Contact information
Practice address
4915 ALTA DR, LAS VEGAS, NV 89107-3921
(702) 704-4244
Mailing address
7147 BLACK SAGE ST, LAS VEGAS, NV 89118-6042
(510) 285-7054
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MI1225
NV
Other
Enumeration date
12/18/2019
Last updated
12/18/2019
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