Jaden Collins
Community/Behavioral Health in Las Vegas, NV. Individual provider (NPI-1).
NPI number1164028809
StatusActive
Last updated in NPPESDec 8, 2020
Details
- NPI
- 1164028809
- Entity type
- Individual (NPI-1)
- Name
- Jaden Collins
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 8, 2020
- Certification date
- Dec 8, 2020
- Last updated
- Dec 8, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Practice location
3651 N Rancho Dr Apt 215Las Vegas, NV 89130-3134
Phone 702-913-2893
Mailing address
3651 N Rancho Dr Apt 215Las Vegas, NV 89130-3134
Phone 702-913-2893
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