Provider Demographics
NPI:1902242027
Name:FLORES, AMELIA ANN
Entity Type:Individual
Prefix:MRS
First Name:AMELIA
Middle Name:ANN
Last Name:FLORES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:AMELIA
Other - Middle Name:ANN
Other - Last Name:CROSSMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNA
Mailing Address - Street 1:1130 E HUFFAKER LN
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89511-1349
Mailing Address - Country:US
Mailing Address - Phone:775-348-8811
Mailing Address - Fax:775-830-8830
Practice Address - Street 1:1130 E HUFFAKER LN
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89511-1349
Practice Address - Country:US
Practice Address - Phone:775-348-8811
Practice Address - Fax:775-348-8830
Is Sole Proprietor?:No
Enumeration Date:2013-05-15
Last Update Date:2013-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor