Individual
MICHELLE LARAY JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPC
Contact information
Practice address
6202 FLAMING ARROW RD, NORTH LAS VEGAS, NV 89031-1646
(812) 306-7795
Mailing address
6202 FLAMING ARROW RD, NORTH LAS VEGAS, NV 89031-1646
(812) 306-7795
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
NV
Other
Enumeration date
01/12/2018
Last updated
11/15/2023
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