Individual
ALEXIS NIELSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
5231 DICKENS DR, LAS VEGAS, NV 89119-7705
(702) 540-8687
Mailing address
5231 DICKENS DR, LAS VEGAS, NV 89119-7705
(702) 540-8687
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MI1092
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14438971
—
NV
01
—
3184
LMFT
NV
01
—
MI1092
INTERN LICENSE
NV
Enumeration date
10/25/2018
Last updated
08/16/2022
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