Individual
NICOLE STOUDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6900 N PECOS RD, NORTH LAS VEGAS, NV 89086-4400
(702) 791-9000
Mailing address
6900 N PECOS RD, NORTH LAS VEGAS, NV 89086-4400
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
SW17066
FL
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
07/29/2014
Last updated
07/15/2024
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