person
Jackson Cryses Nightshade
Mental Health Counselor in Las Vegas, Nevada
NPI 1255689261

Jackson Cryses Nightshade is a Mental Health Counselor based in Las Vegas, NV and is specialized in Mental Health. Jackson Cryses Nightshade practices in Las Vegas, NV. The NPI Number for Jackson Cryses Nightshade is 1255689261 and holds a License No. MI3202 (Nevada).

The current practice location address for Jackson Cryses Nightshade is 2300 W Sahara Ave Ste 800, Las Vegas, NV and can be reached out via phone at 702-545-5854.

Location: 2300 W Sahara Ave Ste 800, Las Vegas, NV, 89145-6232
person
Provider Profile Details
NPI Number
1255689261
Provider Name
Jackson Cryses Nightshade
Credential
Provider Entity Type
Individual
Gender
Male
Address
2300 W Sahara Ave Ste 800, Las Vegas, NV, 89145-6232
Phone Number
702-545-5854
Fax Number
Provider Enumeration Date
08/22/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2300 W Sahara Ave Ste 800
City
State
Zip
89102-4397
Phone Number
702-545-5854
Fax Number
person
Provider Business Mailing Address Details
Address
2300 W Sahara Ave Ste 800
City
State
Zip
89102-4397
Phone Number
702-545-5854
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
MI3202 (Nevada)
Definition
Definition to come...
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