Individual
ASIA JEFFERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
720 S JONES BLVD, LAS VEGAS, NV 89107-3614
(702) 331-4874
Mailing address
985 WIGWAM PKWY UNIT 1202, HENDERSON, NV 89014-6835
(702) 863-9577
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NV
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
11/18/2019
Last updated
05/15/2025
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