Individual
STEPHANIE LARIOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4898 BLANTON DR, LAS VEGAS, NV 89121-7009
(702) 712-1958
Mailing address
4898 BLANTON DR, LAS VEGAS, NV 89121-7009
(702) 712-1958
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/06/2014
Last updated
02/06/2014
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