Individual
JENNIFER DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CPC-INTERN
Contact information
Practice address
7433 EGGSHELL DR, NORTH LAS VEGAS, NV 89084-2481
(702) 530-5007
Mailing address
3053 W CRAIG RD STE E320, NORTH LAS VEGAS, NV 89032-5124
(702) 301-1925
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CI5471
NV
Other
Enumeration date
10/23/2024
Last updated
10/23/2024
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