Individual
DR. JILL PACKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, MFT
Contact information
Practice address
3332 SOMERSET WAY, CARSON CITY, NV 89705-7203
(775) 843-4254
(775) 882-2961
Mailing address
5150 CONVAIR DR, CARSON CITY, NV 89706-0425
(775) 843-4254
(775) 882-2961
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100511714
—
NV
Enumeration date
09/27/2007
Last updated
08/25/2009
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