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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GLORIA JACKSON

Active Sole Proprietor

GLORIA JACKSON is a Addiction (Substance Use Disorder) Counselor healthcare provider located in LAS VEGAS, Nevada. NPI 1619371507 is currently active in the NPPES registry. Verify at CMS.

Addiction (Substance Use Disorder) Counselor · LAS VEGAS, NV

Registration Details

NPI Number
1619371507
Provider Type
Individual
Gender
Female
NPI Issued
Oct 21, 2014 (11.833207048486 yrs)
Last Updated
Oct 21, 2014
Licenses
103K000000X (NV)
101YA0400X (NV)
Sole Proprietor
Yes

Practice Information

Address
800 N. RAINBOW BLVD SUITE 215
LAS VEGAS, NV, 89107
Browse NV providers · Browse ZIP 89107
Phone
7029680231

Other Addiction (Substance Use Disorder) Counselor Providers in LAS VEGAS, NV

Name Credential NPI
DR. KIM MARIE GRUM LSUDC, CAADC, CRS 1649271933
MS. OMEGA JODEAN GALLIANO M.S. 1780665687
DEBORA TRETIAK M.S. 1235177551
MS. CHERYL CORNELIUS MET 1194755835
FRANK KARR LADC 1093734824
JANE MARIE SCHMIDT L.A.D.C. 1952312613
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.