Latishia Nicole Wesley
Psychologist, Addiction (Substance Use Disorder) in North Las Vegas, NV. Individual provider (NPI-1).
NPI number1124771399
StatusActive
Last updated in NPPESJan 28, 2022
Details
- NPI
- 1124771399
- Entity type
- Individual (NPI-1)
- Name
- Latishia Nicole Wesley
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 28, 2022
- Certification date
- Jan 19, 2022
- Last updated
- Jan 28, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TA0400X | Psychologist, Addiction (Substance Use Disorder) | – | – | Yes |
Practice location
2580 North Rancho DrNorth Las Vegas, NV 89032
Phone 786-922-4000
Mailing address
8209 San Mateo StNorth Las Vegas, NV 89085-2306
Phone 786-922-4000
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