Individual
YESENIA CARIDAD LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AA, CADC-I
Contact information
Practice address
3675 PECOS MCLEOD STE 100, LAS VEGAS, NV 89121-3811
(702) 986-9695
Mailing address
3930 SHADOW WOOD AVE, LAS VEGAS, NV 89121-4536
(702) 986-9695
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
02024-I
NV
101YP2500X
Professional Counselor
Primary
CI3043
NV
Other
Enumeration date
05/01/2017
Last updated
03/05/2022
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