Organization
COUNSELING AND AWARENESS REHABILITATIVE EDUCATIOANL PROGRAM INC.
Active
Other names
Care Transitional Services
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PENNY ANN JACKSON M.A., LADC, SUP (DIRECTOR/ MENTAL HEALTH COUNSELOR)
(702) 877-9850
Entity
Organization
Contact information
Practice address
1240 W OWENS AVE, STE. 3, LAS VEGAS, NV 89106-2452
(702) 877-9850
(702) 877-9870
Mailing address
1240 W OWENS AVE, STE. 3, LAS VEGAS, NV 89106-2452
(702) 877-9850
(702) 877-9870
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
L791
NV
Other
Enumeration date
11/24/2010
Last updated
11/24/2010
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