Individual
MICHAEL STEPHON GANTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5360 SOUTH PECOS ROAD, SUITE 2B, LAS VEGAS, NV 89120
(702) 560-5973
(888) 753-3302
Mailing address
4901 WHISPERING SPRING AVENUE, LAS VEGAS, NV 89131
(702) 353-6443
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/28/2012
Last updated
08/28/2012
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