GLORIA JACKSON
Counselor - Addiction (Substance Use Disorder)
Active
Individual
NPI: 1619371507
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Behavior Analyst | 103K00000X | No | 103K000000X (NV) |
| Counselor - Addiction (Substance Use Disorder) | 101YA0400X | Yes | 101YA0400X (NV) |
Frequently Asked Questions
NPI 1619371507 is the National Provider Identifier for GLORIA JACKSON, a Counselor - Addiction (Substance Use Disorder) provider located in Las Vegas, NV. This NPI was enumerated on October 21, 2014.
GLORIA JACKSON practices at 800 N. RAINBOW BLVD SUITE 215, Las Vegas, NV 89107.
Quick Facts
- NPI
- 1619371507
- Type
- Individual
- Enumerated
- Oct 21, 2014
- Last Updated
- Oct 21, 2014
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