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NPI Code Detail

MEDICARE: MARY VIRGINIA SIGGAL

MEDICARE: MARY VIRGINIA SIGGAL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1740586635
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY VIRGINIA SIGGAL
Provider Business Mailing Address
First Line : 1755 PALMS STREET
Second Line : BUILDING K 221
City : LAS VEGAS
State : NV
Zip : 89104
Country : US
Telephone Number : 702-251-3038
Fax Number :
Provider Business Practice Location Address
First Line : 1755 PALM ST
Second Line : BUILIDING K 221
City : LAS VEGAS
State : NV
Zip : 89104-4700
Country : US
Telephone Number : 702-251-3038
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/10/2011
Last Update Date : 02/10/2011

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Directions to “ MARY VIRGINIA SIGGAL ” Practice Location

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