JAIME WILDE VANDERLAAN
NPI 1700609070
Counselor - Mental Health in Las Vegas, NV
Active since November 05, 2024
About Jaime Wilde Vanderlaan NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JAIME WILDE VANDERLAAN (NPI 1700609070) is an individual mental health provider in Las Vegas, Nevada, licensed in Nevada (CI5697) and active in the NPI registry since November 2024.
NPPES Registry Identity
NPI1700609070
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJAIME WILDE VANDERLAAN
Location Address9620 LAS VEGAS BLVD S STE 4661Las Vegas, NV 89123-6507
Mailing Address9620 Las Vegas Blvd S Ste 4Las Vegas, NV 89123-6507 · (435) 668-0458
Phone(435) 668-0458
Sole ProprietorYes
Enumeration DateNovember 5, 2024
Last NPPES UpdateJune 24, 2026
NPPES CertifiedJune 24, 2026
✔ NPI 1700609070 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NV · CI5697
9620 LAS VEGAS BLVD S STE 4661, Las Vegas, NV 89123
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1700609070, enumerated as an "individual" on November 05, 2024.
The provider is located at 9620 LAS VEGAS BLVD S STE 4661 LAS VEGAS, NV 89123 and the phone number is (435) 668-0458.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
