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Individual

MS. JENNIFER MARIE ICE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
1489 W WARM SPRINGS RD STE 110, HENDERSON, NV 89014-7367
(702) 363-7284
Mailing address
1489 W WARM SPRINGS RD STE 110, HENDERSON, NV 89014-7367
(630) 999-9694

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
4071
NV
106H00000X
Marriage & Family Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4071
LMFT
NV
Enumeration date
10/01/2021
Last updated
06/27/2025
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