SearchNevadaMental Health Counselor

Jackson Nightshade

NPI 1255689261 · on the registry since 2012 · sole proprietor

Practice

Address
2300 W Sahara Ave Ste 800
Las Vegas, NV 89102
Phone
(702) 545-5854
Organisation at this address
Tdv Llc
Kazar Inc
Kazar Inc
Kazar Inc
Kazar Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
128

Registry record

Primary taxonomy
Mental Health Counselor
101YM0800X
Licence states on file
NV
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-08-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nevada