Individual
CALISHA ESARAY GIPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BABC, MSW-I
Contact information
Practice address
3620 N RANCHO DR STE 107, LAS VEGAS, NV 89130-3153
(702) 656-5683
Mailing address
6275 BOULDER HWY #2194, LAS VEGAS, NV 89122-7692
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/04/2018
Last updated
05/08/2018
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