Individual
ROXANA N MONSIVAIS DOMINGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2920 S JONES BLVD STE 225, LAS VEGAS, NV 89146-5622
(702) 476-6395
Mailing address
764 E TWAIN AVE APT 15G, LAS VEGAS, NV 89169-4127
(702) 334-7769
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
1104279256
NV
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
1104279256
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104279256
—
NV
Enumeration date
07/13/2016
Last updated
11/13/2025
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