Organization
PUSHING TROUGH COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELE JACKSON (OWNER)
(702) 279-7503
Entity
Organization
Contact information
Practice address
2812 N NORWALK STE 127, MESA, AZ 85215-1148
(702) 279-7503
Mailing address
6716 LAVENDER LILLY LN UNIT 1, N LAS VEGAS, NV 89084-3302
(702) 279-7503
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/12/2018
Last updated
06/12/2018
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