Individual provider · Type 1 NPI

Wanda Leigh Clark- Gantt

Mental Health Counselor · North Las Vegas, NV

NPI number 1366188575 Active

Practice location

3925 N Martin L King Blvd Ste 117
North Las Vegas, NV 89032-7675

Call (702) 610-1715 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1366188575

Wanda Leigh Clark- Gantt's National Provider Identifier is 1366188575, issued on May 10, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in North Las Vegas, NV. The record was last updated on May 10, 2022.