Individual
NICOLAS PONZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, M.ED, LCSW
Contact information
Practice address
9163 W FLAMINGO RD, SUITE 120, LAS VEGAS, NV 89147-6457
(702) 248-1169
(702) 869-9203
Mailing address
9163 W FLAMINGO RD, SUITE 120, LAS VEGAS, NV 89147-6457
(702) 248-1169
(702) 869-9203
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
NV01258-C
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NV01258-C
STATE LICENSE
NV
Enumeration date
03/07/2007
Last updated
07/08/2007
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