Individual
MAYRA FRUTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
1901 S JONES BLVD, LAS VEGAS, NV 89146-1260
(702) 815-1550
Mailing address
1901 S JONES BLVD, LAS VEGAS, NV 89146-1260
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
225400000X
Rehabilitation Practitioner
—
NV
Other
Enumeration date
09/19/2011
Last updated
01/16/2019
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