Individual
KHALILEAH DANIELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6171 W CHARLESTON BLVD STE 170, LAS VEGAS, NV 89146-1126
(702) 486-4004
Mailing address
3900 W CHARLESTON BLVD, SUITE 170, LAS VEGAS, NV 89102-1628
(702) 453-4673
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MI0854
NV
172V00000X
Community Health Worker
—
—
Other
Enumeration date
10/05/2011
Last updated
12/04/2020
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