Provider Demographics
NPI:1275822652
Name:VALDEZ, ROBERTO RUIZ (LCADC, LCPC)
Entity Type:Individual
Prefix:
First Name:ROBERTO
Middle Name:RUIZ
Last Name:VALDEZ
Suffix:
Gender:M
Credentials:LCADC, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:714 E SAHARA AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89104-2942
Mailing Address - Country:US
Mailing Address - Phone:702-292-0397
Mailing Address - Fax:
Practice Address - Street 1:714 E SAHARA AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89104-2942
Practice Address - Country:US
Practice Address - Phone:702-369-8700
Practice Address - Fax:702-369-8489
Is Sole Proprietor?:No
Enumeration Date:2011-04-06
Last Update Date:2021-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVCP029101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health