Individual
MRS. JESSICA STEPHANIE LIZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7061 GRAND MONTECITO PKWY, LAS VEGAS, NV 89149-0287
(702) 877-5199
Mailing address
8200 RUBY MOUNTAIN WAY, LAS VEGAS, NV 89128-8251
(310) 528-5212
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
28622
CA
101YM0800X
Mental Health Counselor
71344
CA
1041C0700X
Clinical Social Worker
103049
CA
1041C0700X
Clinical Social Worker
Primary
9580-C
NV
Other
Enumeration date
08/06/2008
Last updated
04/07/2023
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