Individual
JESSICA RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3455 W CRAIG RD, SUITE C, NORTH LAS VEGAS, NV 89032-5118
(702) 982-0600
(702) 982-0300
Mailing address
3455 W CRAIG RD, SUITE C, NORTH LAS VEGAS, NV 89032-5118
(702) 982-0600
(702) 982-0300
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1702979061
NV
Other
Enumeration date
09/28/2011
Last updated
09/28/2011
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