Individual
JAZMYNE MARILEE WHITLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
526 S TONOPAH DR STE 200, LAS VEGAS, NV 89106-4013
(702) 440-8440
Mailing address
6363 S PECOS RD STE 206, LAS VEGAS, NV 89120-6293
(317) 617-6356
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MI4209
NV
106S00000X
Behavior Technician
—
NV
Other
Enumeration date
08/31/2020
Last updated
04/20/2023
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