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Individual

JACQUELINE M ANTHONY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A., LMFT

Contact information

Practice address
4794 S EASTERN AVE, LAS VEGAS, NV 89119-6145
(702) 780-7330
Mailing address
4794 S EASTERN AVE, LAS VEGAS, NV 89119-6145
(702) 780-7330

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
01528
NV
106H00000X
Marriage & Family Therapist
48649
CA

Other

Enumeration date
03/22/2007
Last updated
04/12/2018
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