Yvonne Ruth Jackson
Counselor, Mental Health in Las Vegas, NV. Individual provider (NPI-1).
NPI number1851664031
StatusActive
Last updated in NPPESFeb 17, 2012
Details
- NPI
- 1851664031
- Entity type
- Individual (NPI-1)
- Name
- Yvonne Ruth Jackson
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 17, 2012
- Last updated
- Feb 17, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
4616 W Sahara Ave358
Las Vegas, NV 89102-3654
Phone 702-860-4689
Mailing address
4616 W Sahara Ave358
Las Vegas, NV 89102-3654
Phone 702-860-4689
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