Individual
KRYSTAL LONEA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5005 LOSEE RD APT 1031, NORTH LAS VEGAS, NV 89081-2490
(702) 624-6618
Mailing address
1840 N DECATUR BLVD UNIT 204, LAS VEGAS, NV 89108-2269
(331) 222-1181
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NV
Other
Enumeration date
01/28/2014
Last updated
01/28/2014
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