Individual
MR. JORDAN ISAIAH FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW, CSW-I
Contact information
Practice address
3430 E RUSSELL RD STE 315, LAS VEGAS, NV 89120-2201
(725) 238-6990
Mailing address
3430 E RUSSELL RD STE 315, LAS VEGAS, NV 89120-2201
(725) 238-6990
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13054-M
NV
Other
Enumeration date
04/01/2026
Last updated
04/01/2026
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