Individual
DR. JASON LAGRAND MOURITSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
PO BOX 436, ALAMO, NV 89001-0436
(725) 222-0461
Mailing address
PO BOX 436, ALAMO, NV 89001-0436
(725) 222-0461
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY0794
NV
Other
Enumeration date
10/16/2013
Last updated
09/03/2025
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