Individual
ROBERT HOWARD MEDDAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, MFT, LCADC, CPGC
Contact information
Practice address
1640 ALTA DR, #4, LAS VEGAS, NV 89106-4163
(702) 474-6450
(702) 474-6463
Mailing address
1024 NEW CREEK AVE, HENDERSON, NV 89015-3709
(702) 235-9659
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
00125CG
NV
101YA0400X
Addiction (Substance Use Disorder) Counselor
00197
NV
106H00000X
Marriage & Family Therapist
Primary
01022
NV
106H00000X
Marriage & Family Therapist
0145071
NM
106H00000X
Marriage & Family Therapist
39526
CA
Other
Enumeration date
05/16/2013
Last updated
05/16/2013
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