Individual
BLAINE MICHAEL BRIXEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT-I
Contact information
Practice address
7310 SMOKE RANCH RD, S, LAS VEGAS, NV 89128-0258
(702) 456-4262
Mailing address
5880 BOULDER FALLS ST APT 2049, HENDERSON, NV 89011-4963
(702) 815-5933
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MI3218
NV
Other
Enumeration date
11/01/2021
Last updated
11/01/2021
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