Individual
MARIA ELENA JOB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
601 CACTUS BLOOM LN, LAS VEGAS, NV 89107-1234
(702) 630-6047
Mailing address
601 CACTUS BLOOM LN, LAS VEGAS, NV 89107-1234
(702) 630-6047
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
00640-C
NV
Other
Enumeration date
03/03/2011
Last updated
04/08/2017
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