MEDICARE: STEPHANIE LOREN MAPULA-MAGDALENO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	CI5072	NV

General Provider Information

NPI Number	:	1003612789
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE LOREN MAPULA-MAGDALENO

Provider Business Mailing Address
First Line	:	6402 MCLEOD DR STE 5
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89120-4406
Country	:	US
Telephone Number	:	725-204-8809
Fax Number	:

Provider Business Practice Location Address
First Line	:	6402 MCLEOD DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89120-4405
Country	:	US
Telephone Number	:	725-204-8809
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/22/2025
Last Update Date	:	10/22/2025

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Directions to “ STEPHANIE LOREN MAPULA-MAGDALENO ” Practice Location

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