Individual
YURNELL DIANNE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4181 GANNET CIR UNIT 242, LAS VEGAS, NV 89103-6301
(760) 912-0715
Mailing address
4181 GANNET CIR UNIT 242, LAS VEGAS, NV 89103-6301
(760) 912-0715
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/07/2014
Last updated
07/07/2014
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