NPI 1114332723 · live from the CMS NPI Registry
Andrew John Acosta, MA, MFT Intern
Marriage & Family Therapist in Las Vegas, NV. National Provider Identifier 1114332723, active.
NPI record
| NPI | 1114332723 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Marriage & Family Therapist 106H00000X |
| Practice location | 3606 N Rancho Dr, Las Vegas, NV 89130 |
| Practice phone | 702-778-5300 |
| Mailing address | 3606 N Rancho Dr Ste 142, Las Vegas, NV 89130 |
| Enumerated | June 23, 2014 |
| Last updated | December 9, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist | 106H00000X | MI2917 (NV) |
| Marriage & Family Therapist primary | 106H00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.