Individual
LATISHA GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT-INTERN
Contact information
Practice address
1707 VILLAGE CENTER CIR STE 200, LAS VEGAS, NV 89134-0515
(725) 735-2700
Mailing address
11344 BELMONT LAKE DR UNIT 103, LAS VEGAS, NV 89135-1366
(702) 677-0563
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
07126-1
NV
106H00000X
Marriage & Family Therapist
MI4207
NV
Other
Enumeration date
07/30/2022
Last updated
02/04/2023
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