Individual
SHONDRA WARREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5130 S PECOS RD, SUITE 2B, LAS VEGAS, NV 89120-1248
(702) 900-7397
Mailing address
3118 BRADFORD HILL AVE, NORTH LAS VEGAS, NV 89031-2292
(702) 672-4397
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
900837799
—
NV
Enumeration date
07/06/2012
Last updated
07/06/2012
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