Wellformed AI

NPI 1427555671 · live from the CMS NPI Registry

Michelle Colette Abunasra-Bourland, MFT State Intern

Marriage & Family Therapist in Henderson, NV. National Provider Identifier 1427555671, active.

NPI record

NPI1427555671 Type 1 · individual
StatusActive
Primary specialtyMarriage & Family Therapist 106H00000X
Practice location220 E Horizon Dr Ste G, Henderson, NV 89015
Practice phone702-605-2766
EnumeratedApril 12, 2018
Last updatedJanuary 11, 2021
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Marriage & Family Therapist primary106H00000XMI3124 (NV)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.