Individual provider · Type 1 NPI

Taveus Jackson

Mental Health Counselor · Las Vegas, NV

NPI number 1124425467 Active

Practice location

4785 Idaho Ave
Las Vegas, NV 89104-5911

Call (702) 857-4423 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1124425467

Taveus Jackson's National Provider Identifier is 1124425467, issued on Dec 2, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Las Vegas, NV. The record was last updated on Dec 2, 2014.