Individual
MISS SHALONDA MONIQUE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5304 DAYWOOD ST, NORTH LAS VEGAS, NV 89031-7917
(702) 649-5995
(702) 399-9801
Mailing address
5304 DAYWOOD ST, NORTH LAS VEGAS, NV 89031-7917
(702) 649-5995
(702) 399-9801
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
—
—
Other
Enumeration date
02/04/2011
Last updated
02/04/2011
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