Provider Demographics
NPI:1013204395
Name:HUIZAR, MARIA DEL MAR (BA)
Entity Type:Individual
Prefix:MISS
First Name:MARIA
Middle Name:DEL MAR
Last Name:HUIZAR
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1060 PINCAY DR
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89015-2935
Mailing Address - Country:US
Mailing Address - Phone:702-577-5977
Mailing Address - Fax:702-476-4767
Practice Address - Street 1:3983 ROUND WOOD ST
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89147-4320
Practice Address - Country:US
Practice Address - Phone:702-738-8128
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-07
Last Update Date:2011-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor