MR. PHELTON JACKSON, N/A

Counselor

Active Individual
NPI: 1649538836

Practice Address

4417 OASIS PLAINS AVE
North Las Vegas, NV 89085

Phone: (702) 688-1407

Specialties

Specialty Code Primary License
Counselor 101Y00000X Yes -

Frequently Asked Questions

NPI 1649538836 is the National Provider Identifier for MR. PHELTON JACKSON, N/A, a Counselor provider located in North Las Vegas, NV. This NPI was enumerated on April 25, 2012.
MR. PHELTON JACKSON, N/A practices at 4417 OASIS PLAINS AVE, North Las Vegas, NV 89085.

Quick Facts

NPI
1649538836
Type
Individual
Enumerated
Apr 25, 2012
Last Updated
Apr 25, 2012

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