Individual
JORDAN CHRISTIAN CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPC-INTERN
Contact information
Practice address
2620 REGATTA DR STE 102, LAS VEGAS, NV 89128-6892
(725) 257-3983
Mailing address
8020 PASADERA ST, LAS VEGAS, NV 89131-4316
(720) 750-1604
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CI5689
NV
Other
Enumeration date
03/16/2026
Last updated
03/16/2026
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