Individual
MISS YESENIA AVALOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC, CPGC
Contact information
Practice address
730 N EASTERN AVE, SUITE 130, LAS VEGAS, NV 89101-2883
(702) 598-2020
(702) 598-2018
Mailing address
730 N EASTERN AVE, SUITE 130, LAS VEGAS, NV 89101-2883
(702) 598-2020
(702) 598-2018
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
00130
NV
251S00000X
Community/Behavioral Health Agency
01245
NV
Other
Enumeration date
12/20/2011
Last updated
12/20/2011
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