Individual provider · Type 1 NPI
Michael Stephon Gantt
Mental Health Counselor · Las Vegas, NV
NPI number
1831447523
Active
Practice location
5360 South Pecos Road, Suite 2B
Las Vegas, NV 89120
Fax (888) 753-3302
Mailing address
4901 Whispering Spring Avenue
Las Vegas, NV 89131
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1831447523
Michael Stephon Gantt's National Provider Identifier is 1831447523, issued on Aug 28, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Las Vegas, NV. The record was last updated on Aug 28, 2012.