Individual
MICHELLE COSTIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPC, LCADC, ATR
Contact information
Practice address
2764 N GREEN VALLEY PKWY STE 503, HENDERSON, NV 89014-2120
(224) 730-1529
Mailing address
2764 N GREEN VALLEY PKWY STE 503, HENDERSON, NV 89014-2120
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
00423-LC
NV
101YM0800X
Mental Health Counselor
180.010324
IL
101YM0800X
Mental Health Counselor
Primary
CP0165
NV
Other
Enumeration date
05/07/2014
Last updated
07/17/2017
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