Individual
JENNIFER ANTONUCCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
3243 E WARM SPRINGS RD, LAS VEGAS, NV 89120-3185
(702) 434-7290
Mailing address
10994 LADYBURN CT, LAS VEGAS, NV 89141-4358
(702) 235-9396
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MI0733
NV
Other
Enumeration date
10/15/2014
Last updated
07/03/2019
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