Individual
CORRIME JETAIME ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7064 BERKSHIRE PL, LAS VEGAS, NV 89147-4722
(702) 538-5307
Mailing address
7064 BERKSHIRE PL, LAS VEGAS, NV 89147-4722
(702) 538-5307
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/26/2013
Last updated
03/26/2013
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