Individual provider · Type 1 NPI

Alicisia Clarissa Jackson

Mental Health Counselor · Las Vegas, NV

NPI number 1790107076 Active

Practice location

1941 Napoleon Dr
Las Vegas, NV 89156-7187

Call (702) 438-8452 Map

Fax (702) 438-2981

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed
Rehabilitation Practitioner 225400000XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1790107076

Alicisia Clarissa Jackson's National Provider Identifier is 1790107076, issued on Jan 6, 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 Jan 6, 2014.