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Individual

VALORIE LYNN LYSTRUP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CADC, CPGC-I

Contact information

Practice address
1681 W HORIZON RIDGE PKWY, HENDERSON, NV 89012-3494
(702) 476-9700
Mailing address
9965 W TROPICAL PKWY, LAS VEGAS, NV 89149-1471
(702) 326-9904

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
00681-C
NV

Other

Enumeration date
01/24/2018
Last updated
01/24/2018
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