Individual
DR. JACQUELINE ROSE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.D.
Contact information
Practice address
2755 E DESERT INN RD STE 250, LAS VEGAS, NV 89121-3610
(702) 538-9474
Mailing address
1613 INDIAN COVE LN, LAS VEGAS, NV 89128-7313
(562) 370-6849
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MI1128
NV
Other
Enumeration date
03/01/2019
Last updated
03/01/2019
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