MEDICARE: TONIA L PEREZ

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1285187120
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TONIA L PEREZ

Provider Business Mailing Address
First Line	:	4200 SOLTEROS ST APT B
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89103-3585
Country	:	US
Telephone Number	:	502-595-8667
Fax Number	:

Provider Business Practice Location Address
First Line	:	601 S RANCHO DR STE A10
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89106-4898
Country	:	US
Telephone Number	:	702-437-4673
Fax Number	:	702-438-4673

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

Provider Enumeration Date	:	07/27/2016
Last Update Date	:	09/06/2021

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Directions to “ TONIA L PEREZ ” Practice Location

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