Individual
STEPHANIE PARTIDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LCADC
Contact information
Practice address
7868 WILD THISTLE CT, LAS VEGAS, NV 89149-1632
(760) 937-0118
Mailing address
7868 WILD THISTLE CT, LAS VEGAS, NV 89149-1632
(760) 937-0118
(702) 272-2011
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
07114-LC
NV
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
9192-C
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184182875
—
NV
Enumeration date
03/12/2019
Last updated
08/22/2022
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