Individual
KAYDIAN TASHINA WOOLERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHC
Contact information
Practice address
5510 S FORT APACHE RD STE 458, LAS VEGAS, NV 89148-7700
(347) 517-9485
Mailing address
5510 S FORT APACHE RD STE 458, LAS VEGAS, NV 89148-7700
(347) 517-9485
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CP5094
NV
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
06/13/2019
Last updated
03/12/2026
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