Carson, Jeffrey John

Carson, Jeffrey John is an sole proprietor health care provider with primary practice located at 1405 San Juan Hills Dr Unit 105 , Las Vegas NV 89134-6390. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Carson, Jeffrey John can be contacted via phone (770) 364-4402.

Contact Information

Primary practice address
1405 San Juan Hills Dr Unit 105 Las Vegas NV 89134-6390
Phone: (770) 364-4402
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1269 Nevada

Profile Details

NPI number 1801130232
LBN Legal business name Carson, Jeffrey John
Credentials MA, LADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 26th, 2012
Last updated Apr 8th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801130232 NPPES
Nevada Other C10131 CPCI

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