LISA MAPLE BLOOM

LAS VEGAS, NV
NPI1770473811
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NV  08072-I)
Enumeration Date2025-07-09
Last Update Date2025-07-09
Business Address
LISA MAPLE BLOOM CADC-I
916 N MAIN ST
LAS VEGAS, NV 89101-1931
Phone number: 702-202-6647
Mailing Address
LISA MAPLE BLOOM CADC-I
916 N MAIN ST
LAS VEGAS, NV 89101-1931
Phone number: 702-202-6647