ALICISIA CLARISSA JACKSON

LAS VEGAS, NV
NPI1790107076
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Additional Taxonomies225400000X Rehabilitation Practitioner
Enumeration Date2014-01-06
Last Update Date2014-01-06
Business Address
Miss ALICISIA CLARISSA JACKSON
1941 NAPOLEON DR
LAS VEGAS, NV 89156-7187
Phone number: 702-438-8452
Mailing Address
Miss ALICISIA CLARISSA JACKSON
1941 NAPOLEON DR
LAS VEGAS, NV 89156-7187
Phone number: 702-438-8452