Individual
MICHELLE CICCONI STORM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4160 S PECOS RD STE 17, LAS VEGAS, NV 89121-5027
(702) 332-8777
Mailing address
4160 S PECOS RD STE 17, LAS VEGAS, NV 89121-5027
(702) 332-8777
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
—
—
Other
Enumeration date
12/21/2010
Last updated
12/21/2010
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