Individual provider · Type 1 NPI
Phelton Gerrard Jackson, N/A
Counselor · North Las Vegas, NV
NPI number
1649538836
Active
Practice location
4417 Oasis Plains Ave
North Las Vegas, NV 89085-2334
Fax (702) 688-1407
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.
2 other providers at this address
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About NPI 1649538836
Phelton Gerrard Jackson, N/A's National Provider Identifier is 1649538836, issued on Apr 25, 2012. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in North Las Vegas, NV. The record was last updated on Apr 25, 2012.