Individual
JANSTZEN ODUSANYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1455 E KATIE AVE UNIT R27, LAS VEGAS, NV 89119-8104
(702) 517-3888
Mailing address
1455 E KATIE AVE UNIT R27, LAS VEGAS, NV 89119-8104
(702) 517-3888
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/17/2014
Last updated
07/17/2014
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