Individual
MRS. CHRISTI DELYNN PASSALACQUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2921 N TENAYA WAY, LAS VEGAS, NV 89128-1409
(702) 942-1774
Mailing address
52358 COUNTRY ACRES DR, ELKHART, IN 46514-8800
(702) 372-2446
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106H00000X
Marriage & Family Therapist
35002260A
IN
106H00000X
Marriage & Family Therapist
Primary
MI0757
NV
Other
Enumeration date
11/15/2012
Last updated
04/16/2024
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