Individual
STACEY C JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191-6600
(702) 653-2273
(775) 888-4904
Mailing address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191-6600
(702) 653-2273
(775) 888-4904
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8467-C
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992228233
—
NV
Enumeration date
07/19/2017
Last updated
09/17/2024
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