Provider Demographics
NPI:1184865289
Name:VALLADARES, AYMARA (LMHC)
Entity type:Individual
Prefix:
First Name:AYMARA
Middle Name:
Last Name:VALLADARES
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3269 GRAYSON LAKE CT
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89129-6614
Mailing Address - Country:US
Mailing Address - Phone:702-772-2716
Mailing Address - Fax:305-397-1273
Practice Address - Street 1:7730 W CHEYENNE AVE STE 114
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89129-8412
Practice Address - Country:US
Practice Address - Phone:702-487-3242
Practice Address - Fax:702-508-4101
Is Sole Proprietor?:No
Enumeration Date:2009-03-19
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH10060101YM0800X
NVCP5148-R101YM0800X
VA0701008390101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health