Individual
LOURDES WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, NCC, CPC-I
Contact information
Practice address
9402 W LAKE MEAD BLVD, LAS VEGAS, NV 89134-8312
(702) 994-8309
Mailing address
PO BOX 531467, HENDERSON, NV 89053-1467
(702) 994-8309
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CI0059
NV
Other
Enumeration date
03/07/2012
Last updated
03/07/2012
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