Individual provider · Type 1 NPI

Gloria Jackson

Addiction (Substance Use Disorder) Counselor · Las Vegas, NV

NPI number 1619371507 Active

Practice location

800 N. Rainbow Blvd Suite 215
Las Vegas, NV 89107

Call (702) 968-0231 Map

Mailing address

800.N.RAIBOW Blvd Suite 215
Las Vegas, NV 89107-1103

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst 103K00000X103K000000X (NV)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X101YA0400X (NV)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1619371507

Gloria Jackson's National Provider Identifier is 1619371507, issued on Oct 21, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Las Vegas, NV. The record was last updated on Oct 21, 2014.