Individual
CAROLE ANNE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 HELEN AVE, N LAS VEGAS, NV 89030-3721
(702) 275-9838
Mailing address
345 PLUM HORSE AVE, N LAS VEGAS, NV 89031-1317
(702) 205-6717
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
Primary
—
—
Other
Enumeration date
03/12/2013
Last updated
03/12/2013
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