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Organization

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Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JARRELL HOLMAN (OWNER)
(832) 588-8281
Entity
Organization

Contact information

Practice address
4525 DEAN MARTIN DR UNIT 801, LAS VEGAS, NV 89103-8109
(832) 588-8281
Mailing address
4525 DEAN MARTIN DR UNIT 801, LAS VEGAS, NV 89103-8109
(832) 588-8281

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
06/07/2019
Last updated
05/28/2020
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