Penny Jackson, M.A., LADC

NPI 1437451184 · on the registry since 2010

Practice

Address: 1240 W Owens Ave Ste 3
Las Vegas, NV 89106
Phone: (702) 877-9850
Fax: (702) 877-9870
Organisation at this address: Building Resilience
Journey To Wellness
Your Journey Matters
Patricias Enterprises
Saving Young Minds Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 31

Registry record

Primary taxonomy: 101YM0800X
101YM0800X
Also registered as: 101Y00000X
101YA0400X
Licence states on file: NV
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2010-12-01

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