Individual
ANGELO LUCAJ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMHA
Contact information
Practice address
3215 PANAMINT CT, NORTH LAS VEGAS, NV 89032-0486
(747) 243-2497
Mailing address
3215 PANAMINT CT, NORTH LAS VEGAS, NV 89032-0486
(747) 243-2497
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
21-QMHA-R-1087
OR
Other
Enumeration date
05/20/2021
Last updated
05/20/2021
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