Cullum, Stefanie Nicole Marissa

Cullum, Stefanie Nicole Marissa is an sole proprietor health care provider with primary practice located at 2520 Saint Rose Pkwy Ste 306 , Henderson NV 89074-7790. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Cullum, Stefanie Nicole Marissa can be contacted via phone (702) 755-2578.

Contact Information

Primary practice address
2520 Saint Rose Pkwy Ste 306 Henderson NV 89074-7790
Phone: (702) 755-2578
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1699361527
LBN Legal business name Cullum, Stefanie Nicole Marissa
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 15th, 2020
Last updated Dec 15th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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