Individual
MRS. JACQUELINE ROSE EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DBH, LCSW, LCADC
Contact information
Practice address
9402 W LAKE MEAD BLVD OFC 105, LAS VEGAS, NV 89134-8312
(702) 381-3414
(702) 254-7830
Mailing address
9402 W LAKE MEAD BLVD OFC 105, LAS VEGAS, NV 89134-8312
(702) 381-3414
(702) 254-7830
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
00302-C
NV
1041C0700X
Clinical Social Worker
Primary
7063-C
—
Other
Enumeration date
03/03/2013
Last updated
06/17/2025
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