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Organization

CARSON VALLEY YOUTH CAMP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JAMES HILTON JACKSON BS-SOCIAL WORK (OWNER/OPERATOR)
(775) 246-7748
Entity
Organization

Contact information

Practice address
2869 ESAW ST, MINDEN, NV 89423-9059
(775) 267-1775
(775) 267-1775
Mailing address
511 YELLOW JACKET RD, DAYTON, NV 89403-8081
(775) 246-7748
(775) 246-7748

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
09/26/2006
Last updated
07/21/2022
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