Individual
JEREMY JOSEPH URCIOLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4055 SPENCER ST, LAS VEGAS, NV 89119-9303
(702) 799-9710
Mailing address
503 CALYPSO DR, HENDERSON, NV 89002-9618
(170) 230-0839
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CI2951
NV
Other
Enumeration date
08/16/2020
Last updated
08/16/2020
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