Jeffrey Carson, MA, LADC

NPI 1801130232 · on the registry since 2012 · sole proprietor

Practice

Address: 1405 San Juan Hills Dr Unit 105
Las Vegas, NV 89134
Phone: (770) 364-4402
Organisation at this address: Mind Body And Soul Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: 101YA0400X
101YA0400X
Also registered as: 101Y00000X
101YM0800X
Licence states on file: NV
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2019-04-08

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