MEDICARE: SABRINA NORIEGA

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	101Y00000X	Counselor

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MI2848	OTHER	NV	MFT-I LICENSE

General Provider Information

NPI Number	:	1588171896
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SABRINA NORIEGA

Provider Business Mailing Address
First Line	:	PO BOX 531245
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89053-1245
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6655 W SAHARA AVE STE C203
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-0850
Country	:	US
Telephone Number	:	702-900-2784
Fax Number	:

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

Provider Enumeration Date	:	01/08/2018
Last Update Date	:	02/19/2021

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Directions to “ SABRINA NORIEGA ” Practice Location

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