Individual
MR. JAIME MALDONADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2701 RENWICK CIR, LAS VEGAS, NV 89117-0405
(413) 626-6225
(702) 982-3260
Mailing address
8635 W SAHARA AVE # 479, LAS VEGAS, NV 89117-5858
(413) 626-6225
(702) 982-3260
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
13320
MA
1041C0700X
Clinical Social Worker
120382
MA
1041C0700X
Clinical Social Worker
Primary
7769-C
NV
Other
Enumeration date
01/25/2007
Last updated
01/04/2018
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