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

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone 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 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.