Individual
HOLLY C SHANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC, LADC
Contact information
Practice address
801 S RANCHO DR # 2, LAS VEGAS, NV 89106-3854
(702) 385-2153
Mailing address
801 S RANCHO DR STE C3, LAS VEGAS, NV 89106-3858
(702) 385-2153
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
01768-L
NV
101YM0800X
Mental Health Counselor
Primary
CP5043
NV
Other
Enumeration date
10/22/2014
Last updated
06/27/2023
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