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Contact Information

ELYSSA M ANDERSON, MFT-I, CPC-I, CADC-I
4221 MCLEOD DR
LAS VEGAS, NV89121-5215
 Phone: 702-474-6450
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
 

Addiction (Substance Use Disorder)

101YA0400X
 

Marriage & Family Therapist

106H00000X
Indicates primary specialty

NPI Profile & details for ELYSSA M ANDERSON · (Female)

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
  • NV License # 07180-LCI
  • NV License # C15112
  • NV License # MI4221
  • NV Other PENDING CADC-I
  • NV Other PENDING MFT-I
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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