Individual
MRS. JACQUELINE ANN HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, MFT, LADC
Contact information
Practice address
7371 W CHARLESTON BLVD, STE. 110, LAS VEGAS, NV 89117-1575
(702) 290-3210
Mailing address
7371 W CHARLESTON BLVD, STE. 110, LAS VEGAS, NV 89117-1575
(702) 290-3210
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1111
NV
106H00000X
Marriage & Family Therapist
Primary
0652
NV
Other
Enumeration date
05/14/2013
Last updated
08/19/2014
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