Individual
TREY JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2451 N RAINBOW BLVD, LAS VEGAS, NV 89108-4502
(404) 710-4839
Mailing address
2950 E FLAMINGO RD, LAS VEGAS, NV 89121-5209
(702) 586-9674
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
—
—
Other
Enumeration date
06/14/2018
Last updated
06/14/2018
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