Individual
MRS. CHERYLLYN LONGORIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6171 W CHARLESTON BLVD, BLDG 13, LAS VEGAS, NV 89146-1126
(702) 486-6166
Mailing address
6171 W CHARLESTON BLVD, BLDG 13, LAS VEGAS, NV 89146-1126
(702) 486-6166
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
05/21/2012
Last updated
06/03/2013
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