Organization
CENTRO YOLITIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERARDO WENCE-MUNOZ LCPC (CLINICAL DIRECTOR/OWNER)
(702) 292-7026
Entity
Organization
Contact information
Practice address
3450 E RUSSELL RD STE 104, LAS VEGAS, NV 89120-2201
(702) 292-7026
Mailing address
3450 E RUSSELL RD STE 104, LAS VEGAS, NV 89120-2201
(702) 292-7026
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
101YS0200X
School Counselor
—
—
Other
Enumeration date
05/16/2022
Last updated
05/16/2022
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