Individual
MELANIE FEDRAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
3661 S MARYLAND PKWY STE 64, LAS VEGAS, NV 89169-3005
(702) 735-7900
(702) 735-0081
Mailing address
3661 S MARYLAND PKWY STE 64, LAS VEGAS, NV 89169-3005
(702) 735-7900
(702) 735-0081
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1567L
NV
Other
Enumeration date
11/14/2019
Last updated
11/14/2019
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