Provider Demographics
NPI:1306265202
Name:ABDO, MARIA MICHELLE (LCSW)
Entity type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:MICHELLE
Last Name:ABDO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7000 SPRING MOUNTAIN RD
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117-3816
Mailing Address - Country:US
Mailing Address - Phone:702-322-1902
Mailing Address - Fax:702-873-2710
Practice Address - Street 1:7000 SPRING MOUNTAIN RD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117-3816
Practice Address - Country:US
Practice Address - Phone:702-322-1902
Practice Address - Fax:702-873-2710
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-08
Last Update Date:2014-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV5896-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical