Individual
STEFANIE NICOLE MARISSA CULLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2520 SAINT ROSE PKWY STE 306, HENDERSON, NV 89074-7790
(702) 755-2578
Mailing address
7053 PLACID LAKE AVE, LAS VEGAS, NV 89179-1524
(702) 755-2578
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/15/2020
Last updated
12/15/2020
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