Individual
YOLANDA WIBOWO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPC- I
Contact information
Practice address
2520 SAINT ROSE PKWY, HENDERSON, NV 89074-7783
(702) 408-0480
Mailing address
2520 SAINT ROSE PKWY STE 220E, HENDERSON, NV 89074-7789
(702) 408-0480
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CP5802
NV
Other
Enumeration date
10/14/2021
Last updated
04/22/2025
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