Individual
MS. JACQUELINE REA WHITFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA, AGS, CHT.
Contact information
Practice address
8565 S EASTERN AVE STE 150, LAS VEGAS, NV 89123-2906
(702) 556-5706
Mailing address
8610 S MARYLAND PKWY APT 1014, LAS VEGAS, NV 89123-2710
(702) 556-5706
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103K00000X
Behavior Analyst
—
—
1041S0200X
School Social Worker
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
—
—
374K00000X
Religious Nonmedical Practitioner
—
—
Other
Enumeration date
06/13/2018
Last updated
06/13/2018
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