Individual
DEBRA EVELYN WASHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5616 GRANDMOTHER HAT ST, NORTH LAS VEGAS, NV 89081-6467
(205) 722-4485
Mailing address
5616 GRANDMOTHER HAT ST, NORTH LAS VEGAS, NV 89081-6467
(205) 722-4485
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1982975009
—
NV
Enumeration date
04/17/2015
Last updated
04/17/2015
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