Individual
TIFFANY ELAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8430 W LAKE MEAD BLVD STE 100, LAS VEGAS, NV 89128-7674
(702) 576-9893
Mailing address
8430 W LAKE MEAD BLVD STE 100, LAS VEGAS, NV 89128-7674
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/28/2017
Last updated
04/28/2017
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