Individual
AYSAN ANNELISE SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS NCC CPC
Contact information
Practice address
3376 S EASTERN AVE STE 160, LAS VEGAS, NV 89169-3388
(702) 490-9009
(866) 737-6147
Mailing address
4017 KEASBERRY AVE, NORTH LAS VEGAS, NV 89081-6693
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NV
101YP2500X
Professional Counselor
Primary
CP3048
NV
Other
Enumeration date
05/15/2013
Last updated
10/13/2020
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