Individual
JAKOB MAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW, LCSW
Contact information
Practice address
1070 W HORIZON RIDGE PKWY STE 210, HENDERSON, NV 89012-6020
(702) 405-0904
Mailing address
10650 DEAN MARTIN DR UNIT 412, LAS VEGAS, NV 89141-3589
(406) 396-5168
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10450-C
NV
1041C0700X
Clinical Social Worker
29066
MN
1041C0700X
Clinical Social Worker
9244-S
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LMN729698116
—
MN
Enumeration date
05/20/2021
Last updated
01/23/2023
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