Individual
JAZMINE LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6600 W CHARLESTON BLVD STE 140, LAS VEGAS, NV 89146-1067
(702) 437-4673
Mailing address
2110 E FLAMINGO RD # 350, LAS VEGAS, NV 89119-5190
(702) 270-3219
(866) 833-2056
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
10694-C
NV
104100000X
Social Worker
IC-1474
NV
106S00000X
Behavior Technician
RBT-15-03056
NV
Other
Enumeration date
09/09/2015
Last updated
06/07/2023
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