Individual
JESSICA L BLANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW, CSW-I
Contact information
Practice address
660 S GREEN VALLEY PKWY STE 140, HENDERSON, NV 89052-0431
(702) 240-8639
Mailing address
660 S GREEN VALLEY PKWY STE 140, HENDERSON, NV 89052-0431
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10789-M
NV
Other
Enumeration date
12/20/2023
Last updated
12/20/2023
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