Provider Demographics
NPI:1407326259
Name:SZUMSKI, JOANNA (LMFT)
Entity Type:Individual
Prefix:
First Name:JOANNA
Middle Name:
Last Name:SZUMSKI
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1504 TEN PALMS CT
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117-1477
Mailing Address - Country:US
Mailing Address - Phone:847-400-4799
Mailing Address - Fax:
Practice Address - Street 1:2780 S JONES BLVD STE 220
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146-5659
Practice Address - Country:US
Practice Address - Phone:847-400-4799
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-04
Last Update Date:2018-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV2581106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist