Individual
DEANNA FONSTEIN MENCHACA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MFT INTERN
Contact information
Practice address
8945 W RUSSELL RD STE 110, LAS VEGAS, NV 89148-1225
(702) 476-9294
(702) 442-9538
Mailing address
8945 W RUSSELL RD STE 110, LAS VEGAS, NV 89148-1225
(702) 476-9294
(702) 442-9538
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
CTB-2022-0240
NM
106H00000X
Marriage & Family Therapist
IMF93885
CA
106H00000X
Marriage & Family Therapist
Primary
MI4275
NV
Other
Enumeration date
12/26/2007
Last updated
08/24/2023
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