Individual
JACCI SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3205 BRADFORD HILL AVE, N LAS VEGAS, NV 89031-0818
(702) 812-4986
Mailing address
3205 BRADFORD HILL AVE, N LAS VEGAS, NV 89031-0818
(702) 812-4986
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
—
NV
171M00000X
Case Manager/Care Coordinator
Primary
—
—
174H00000X
Health Educator
—
NV
Other
Enumeration date
07/01/2014
Last updated
07/10/2014
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