person
Susan Nicole Jackson, CADC-1
Addiction (Substance Use Disorder) Counselor in Las Vegas, Nevada
NPI 1902580509

Susan Nicole Jackson is an Addiction (Substance Use Disorder) Counselor based in Las Vegas, NV and is specialized in Addiction (Substance Use Disorder). Susan Nicole Jackson practices in Las Vegas, NV and has the professional credentials of CADC-1. The NPI Number for Susan Nicole Jackson is 1902580509 and holds a License No. 07309-I (Nevada).

The current practice location address for Susan Nicole Jackson is 2887 S Maryland Pkwy, Las Vegas, NV and can be reached out via phone at 702-747-4104 and via fax at 702-474-4108.

Location: 2887 S Maryland Pkwy, Las Vegas, NV, 89131-3627
person
Provider Profile Details
NPI Number
1902580509
Provider Name
Susan Nicole Jackson
Credential
CADC-1
Provider Entity Type
Individual
Gender
Female
Address
2887 S Maryland Pkwy, Las Vegas, NV, 89131-3627
Phone Number
702-747-4104
Fax Number
702-474-4108
Provider Enumeration Date
06/14/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2887 S Maryland Pkwy
City
State
Zip
89109-1511
Phone Number
702-747-4104
Fax Number
702-474-4108
person
Provider Business Mailing Address Details
Address
2887 S Maryland Pkwy
City
State
Zip
89109-1511
Phone Number
702-747-4104
Fax Number
702-474-4108
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
07309-I (Nevada)
Definition
Definition to come...
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