Individual
MS. GWENDOLYN MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6900 N PECOS ROAD, NORTH LAS VEGAS, NV 89086-4400, NORTH LAS VEGAS, NV 89086-4400
(702) 791-9000
Mailing address
145 ALAMERE FALLS DR, LAS VEGAS, NV 89138-6156
(312) 391-0113
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
150009996
IL
1041C0700X
Clinical Social Worker
Primary
149018026
IL
Other
Enumeration date
12/22/2006
Last updated
08/30/2023
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