Individual provider · Type 1 NPI
Janstzen Odusanya
Mental Health Counselor · Las Vegas, NV
NPI number
1639586068
Active
Practice location
1455 E Katie Ave Unit R27
Las Vegas, NV 89119-8104
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1639586068
Janstzen Odusanya's National Provider Identifier is 1639586068, issued on Jul 17, 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 Jul 17, 2014.