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Individual

MR. CHIANTE JEMISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LADC

Contact information

Practice address
1334 S MARYLAND PKWY STE 2, LAS VEGAS, NV 89104-3310
(702) 744-7350
(702) 359-6585
Mailing address
1334 S MARYLAND PKWY STE 2, LAS VEGAS, NV 89104-3310
(702) 744-7350
(702) 359-6585

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
01865-L
NV
101YA0400X
Addiction (Substance Use Disorder) Counselor

Other

Enumeration date
06/30/2011
Last updated
12/31/2020
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