Individual
MICHELLE DALLOCCHIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3186 S MARYLAND PKWY, LAS VEGAS, NV 89109-2317
(706) 662-3407
Mailing address
3186 S MARYLAND PKWY, LAS VEGAS, NV 89109-2317
(706) 662-3407
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
171W00000X
Contractor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20206302
CPSA
AZ
Enumeration date
03/14/2012
Last updated
05/11/2015
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