Individual
MALLORY HAGLUND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
284 WEST ROCKY LANE, BOULDER, NV 55114
(681) 664-5541
Mailing address
3850 LAS VEGAS BLVD S, LAS VEGAS, NV 89109-4324
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1125
NV
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
—
—
Other
Enumeration date
08/17/2015
Last updated
07/18/2018
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