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Individual

MS. NICOLE MARIE BURCHETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MFT-STUDENT

Contact information

Practice address
7473 W. LAKE MEAD BLVD, LAS VEGAS, NV 89128
(702) 670-0043
(702) 973-7373
Mailing address
1848 DEL MONICO WAY, NORTH LAS VEGAS, NV 89031
(702) 355-6555

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00001255081
NV
Enumeration date
10/24/2018
Last updated
12/10/2025
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