Individual
BIANCA NICOLE DEWEERDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPCINTERN
Contact information
Practice address
2920 S JONES BLVD STE 225, LAS VEGAS, NV 89146-5622
(702) 476-6395
Mailing address
437 JUBILATION DR, LAS VEGAS, NV 89145-5419
(702) 372-6565
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CI5113
NV
Other
Enumeration date
06/22/2022
Last updated
01/19/2024
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