NPI Profile for ELYSSA M ANDERSON in LAS VEGAS, NV.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X | |||
Addiction (Substance Use Disorder) |
101YA0400X | |||
Marriage & Family Therapist |
106H00000X |
| NPI # | 1972955615 |
|
| Status | Active | |
| Credentials | MFT-I, CPC-I, CADC-I | |
| Entity | Individual | |
| Enumeration date | 07/06/2016 | |
| Last updated | 06/13/2023 - About 3 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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ELYSSA M ANDERSON
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