Individual
SYDNEY GRACE OVERLIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW, CADC
Contact information
Practice address
2725 E DESERT INN RD STE 180, LAS VEGAS, NV 89121-3627
(702) 252-8342
Mailing address
2725 E DESERT INN RD STE 180, LAS VEGAS, NV 89121-3627
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
00718-C
NV
104100000X
Social Worker
7836-S
NV
Other
Enumeration date
05/03/2018
Last updated
06/20/2018
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