Individual
CHERINA LAQUELLE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW, CSW INTERN
Contact information
Practice address
2500 CHANDLER AVE STE 3, LAS VEGAS, NV 89120-4064
(725) 204-8809
Mailing address
2500 CHANDLER AVE STE 3, LAS VEGAS, NV 89120-4064
(725) 204-8809
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9805-M
NV
Other
Enumeration date
07/26/2022
Last updated
07/26/2022
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