Individual
JACOB PHILIP EVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4115 BALMORAL CASTLE CT, LAS VEGAS, NV 89141-4294
(702) 405-8088
(702) 405-6066
Mailing address
4115 BALMORAL CASTLE CT, LAS VEGAS, NV 89141-4294
(702) 405-8088
(702) 405-6066
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12607-M
NV
Other
Enumeration date
09/15/2025
Last updated
09/15/2025
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