Individual
JAKKIM SLADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2755 E DESERT INN RD STE 130, LAS VEGAS, NV 89121-3690
(702) 490-9009
(866) 737-9147
Mailing address
2755 E DESERT INN RD STE 130, LAS VEGAS, NV 89121-3690
(702) 490-9009
(866) 737-9147
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/04/2024
Last updated
01/27/2026
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