Jason Wedemeyer
Social Worker, Clinical in North Las Vegas, NV. Individual provider (NPI-1).
NPI number1982189684
StatusActive
Last updated in NPPESAug 4, 2023
Details
- NPI
- 1982189684
- Entity type
- Individual (NPI-1)
- Name
- Jason Wedemeyer
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 27, 2018
- Certification date
- Aug 4, 2023
- Last updated
- Aug 4, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 9503-C | NV | Yes |
| 1041C0700X | Social Worker, Clinical | 113880 | MA |
Practice location
6900 N Pecos RdNorth Las Vegas, NV 89086-4400
Phone 702-791-9000
Mailing address
6900 N Pecos RdNorth Las Vegas, NV 89086-4400
Phone 702-791-9000
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