Individual
CLARISSA RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1613 AMALFI CT, LAS VEGAS, NV 89117
(702) 358-3036
Mailing address
1613 AMALFI CT, LAS VEGAS, NV 89117-1165
(792) 358-3036
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/18/2013
Last updated
09/18/2013
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