Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225C00000X | Rehabilitation Counselor |
NPI | 1245487164 |
---|---|
Provider Name | Ms. Gloria Valencia |
First Address | Las Vegas, NV 89104-6659 |
Second Address | Las Vegas, NV 89104-6659 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/08/2008 |
Last Update Date | 24/02/2021 |