Individual
DEMETRICE TANAE JEFFERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3320 SUNRISE AVE STE 111, LAS VEGAS, NV 89101-4853
(702) 445-6594
(702) 455-6970
Mailing address
3320 SUNRISE AVE STE 111, LAS VEGAS, NV 89101-4853
(702) 445-6594
(702) 455-6970
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/02/2012
Last updated
08/02/2012
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