Individual
CASEY JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7216 TEMPEST PL, LAS VEGAS, NV 89145-5165
(702) 624-1681
Mailing address
7216 TEMPEST PL, LAS VEGAS, NV 89145-5165
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/19/2015
Last updated
10/19/2015
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