Basic Information
| Provider Information | |||||||||
| NPI: | 1003018060 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CORRREA | ||||||||
| FirstName: | YOLANDA | ||||||||
| MiddleName: | M | ||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | LMFT, LCADC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7271 W CHARLESTON BLVD STE 180 | ||||||||
| Address2: | |||||||||
| City: | LAS VEGAS | ||||||||
| State: | NV | ||||||||
| PostalCode: | 891171684 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7022043922 | ||||||||
| FaxNumber: | 7029120298 | ||||||||
| Practice Location | |||||||||
| Address1: | 7271 W CHARLESTON BLVD STE 180 | ||||||||
| Address2: | |||||||||
| City: | LAS VEGAS | ||||||||
| State: | NV | ||||||||
| PostalCode: | 891171684 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7022043922 | ||||||||
| FaxNumber: | 7029120298 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/01/2007 | ||||||||
| LastUpdateDate: | 03/02/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 106H00000X | 959 | NV | Y | Behavioral Health & Social Service Providers | Marriage & Family Therapist |
No ID Information.