Individual
CRYSTAL SOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3017 W CHARLESTON BLVD STE 70, LAS VEGAS, NV 89102-1928
(702) 823-3910
Mailing address
4274 SWORDFISH CT, LAS VEGAS, NV 89115-8404
(714) 717-6235
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CI5280
NV
103K00000X
Behavior Analyst
—
—
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
09/26/2019
Last updated
05/26/2023
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