Individual
MIGNON ELIZABETH PASQUALICCHIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
6171 W CHARLESTON BLVD STE 16, 8205 FAWN BROOK COURT, LV, NV 89149, LAS VEGAS, NV 89146-1126
(702) 486-6136
Mailing address
6171 W CHARLESTON BLVD, LAS VEGAS, NV 89146-1126
(702) 486-6136
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
01023
NV
Other
Enumeration date
11/09/2006
Last updated
03/29/2010
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