Provider Demographics
NPI:1427324839
Name:VALLEJO, CLAUDIA M (MA)
Entity type:Individual
Prefix:MS
First Name:CLAUDIA
Middle Name:M
Last Name:VALLEJO
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2700 N RAINBOW BLVD APT 1100
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89108-4521
Mailing Address - Country:US
Mailing Address - Phone:702-481-7600
Mailing Address - Fax:
Practice Address - Street 1:3651 LINDELL RD STE A
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89103-1200
Practice Address - Country:US
Practice Address - Phone:702-581-6899
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-29
Last Update Date:2012-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV101Y00000X, 101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool