Aquanatte Jackson's National Provider Identifier (NPI) Details
Aquanatte Jackson, LCSW
NPI: 1508145244
Enumeration Date: 2011-08-11
Last updated: 2023-02-21
Sole Proprietor: YES
Status: active
Postal Address: 2850 W HORIZON RIDGE PKWY STE 200, HENDERSON, NV
Phone: 702-787-4134
Primary Practice Address: 3060 EVENING WIND ST, HENDERSON, NV
Practice's phone: 219-292-8394