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Individual

GEMMA ANDAYA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, NCC, LCADC, LCPC

Contact information

Practice address
8879 W FLAMINGO RD, STE 101, LAS VEGAS, NV 89147
(725) 333-2643
(702) 952-5417
Mailing address
8879 W FLAMINGO RD, STE 101, LAS VEGAS, NV 89147
(725) 333-2643
(702) 952-5417

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0048-LC
NV
101Y00000X
Counselor
CI0317
NV
101YA0400X
Addiction (Substance Use Disorder) Counselor
00448-LC
NV

Other

Enumeration date
04/09/2012
Last updated
04/04/2019
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