NPI 1609270974 · live from the CMS NPI Registry
Jennifer Antonucci, LMFT
Marriage & Family Therapist in Las Vegas, NV. National Provider Identifier 1609270974, active.
NPI record
| NPI | 1609270974 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Marriage & Family Therapist 106H00000X |
| Practice location | 3243 E Warm Springs Rd, Las Vegas, NV 89120 |
| Practice phone | 702-434-7290 |
| Mailing address | 10994 Ladyburn Ct, Las Vegas, NV 89141 |
| Enumerated | October 15, 2014 |
| Last updated | July 3, 2019 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist primary | 106H00000X | MI0733 (NV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.