Individual
RAIDEL ORTEGA ROSALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5432 OKALOOSA DR, LAS VEGAS, NV 89120-3853
(239) 219-9584
Mailing address
5432 OKALOOSA DR, LAS VEGAS, NV 89120-3853
(239) 219-9584
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/22/2022
Last updated
04/08/2024
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