Individual
NIKKI LABAHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
921 S HWY 160 SUITE 203, PAHRUMP, NV 89048-0000
(702) 337-3742
Mailing address
7066 FLOWERING WILLOW ST, LAS VEGAS, NV 89148-3808
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548543317
—
NV
Enumeration date
09/27/2011
Last updated
12/12/2019
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