Individual provider · Type 1 NPI

Casey Jackson

Mental Health Counselor · Las Vegas, NV

NPI number 1548631302 Active

Practice location

7216 Tempest Pl
Las Vegas, NV 89145-5165

Call (702) 624-1681 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1548631302

Casey Jackson's National Provider Identifier is 1548631302, issued on Oct 19, 2015. 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 Oct 19, 2015.