Individual
STACEY J SHADOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
2350 S JONES BLVD # 227, LAS VEGAS, NV 89146-3103
(702) 214-2140
(702) 215-5821
Mailing address
2350 S JONES BLVD # 227, LAS VEGAS, NV 89146-3103
(702) 214-2140
(702) 215-5821
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
39346
NV
103K00000X
Behavior Analyst
Primary
39346
CA
Other
Enumeration date
09/02/2010
Last updated
09/02/2010
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