Jamelle Berry
Marriage & Family Therapist in Las Vegas, NV. Individual provider (NPI-1).
NPI number1003166604
StatusActive
Last updated in NPPESJun 1, 2020
Details
- NPI
- 1003166604
- Entity type
- Individual (NPI-1)
- Name
- Jamelle Berry
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 12, 2012
- Certification date
- Jun 1, 2020
- Last updated
- Jun 1, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 2657 | NV | Yes |
| 225400000X | Rehabilitation Practitioner | – | – |
Other names
- Jamelle Thornton (Former Name)
Practice location
2441 Tech Center Ct Ste 100Las Vegas, NV 89128-0804
Phone 702-907-6384
Mailing address
2441 Tech Center Ct Ste 100Las Vegas, NV 89128-0804
Phone 702-907-6384
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