Individual
MS. JACKIE RUIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6780 FALLONA AVE, LAS VEGAS, NV 89156-6010
(785) 730-4943
Mailing address
6780 FALLONA AVE, LAS VEGAS, NV 89156-6010
(785) 730-4943
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/24/2022
Last updated
05/25/2023
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