Individual
MRS. MIRYAM GODINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT - 4153
Contact information
Practice address
8100 LANCELEAF AVE, LAS VEGAS, NV 89131-8126
(702) 379-5421
Mailing address
4760 S PECOS RD STE 200, LAS VEGAS, NV 89121-5828
(702) 379-5421
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
11/05/2010
Last updated
12/14/2022
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