Individual
LAVELLE JEFFERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3540 N HUALAPAI WAY, 2023, LAS VEGAS, NV 89129-4062
(702) 720-0904
Mailing address
3540 N HUALAPAI WAY, 2023, LAS VEGAS, NV 89129-4062
(702) 720-0904
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
—
—
Other
Enumeration date
12/13/2016
Last updated
12/13/2016
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