Individual
MISS LAURA CANDYACE LEAH BLUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6171 W CHARLESTON BLVD, LAS VEGAS, NV 89146-1126
(702) 486-6100
Mailing address
6171 W CHARLESTON BLVD, LAS VEGAS, NV 89146-1126
(478) 494-2380
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/16/2017
Last updated
11/16/2017
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