Individual provider · Type 1 NPI
Justin Lee Jackson
Counselor · Henderson, NV
NPI number
1356690101
Active
Practice location
375 Conestoga Way Unit 4213
Henderson, NV 89002-1108
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | None listed |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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About NPI 1356690101
Justin Lee Jackson's National Provider Identifier is 1356690101, issued on Sep 6, 2012. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Henderson, NV. The record was last updated on Sep 6, 2012.