Individual
NICKEA ADANA NIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3050 S NELLIS BLVD APT 2142, LAS VEGAS, NV 89121-7773
(702) 659-2822
Mailing address
3050 S NELLIS BLVD APT 2142, LAS VEGAS, NV 89121-7773
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1402313986
DL
NV
Enumeration date
08/06/2018
Last updated
08/06/2018
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