Individual
JANA MITCHELL-MOMOH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1050 WHITNEY RANCH DR, HENDERSON, NV 89014-2540
(612) 743-7385
Mailing address
1050 WHITNEY RANCH DR APT 1626, HENDERSON, NV 89014-2546
(127) 437-3856
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
225400000X
Rehabilitation Practitioner
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
11/03/2016
Last updated
09/04/2023
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