Individual
JARED LORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3407 OCATILLO MESA WAY, NORTH LAS VEGAS, NV 89031-0397
(702) 764-9321
Mailing address
3407 OCATILLO MESA WAY, NORTH LAS VEGAS, NV 89031-0397
(702) 764-9321
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
03/29/2016
Last updated
03/29/2016
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