Individual
BRANDI CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MFT-I, LCADC-I
Contact information
Practice address
3441 S EASTERN AVE, LAS VEGAS, NV 89169-3314
(702) 789-6227
Mailing address
3441 S EASTERN AVE, LAS VEGAS, NV 89169-3314
(702) 789-6227
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
08/24/2020
Last updated
03/28/2025
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