Jackson, Amanda Marie

Jackson, Amanda Marie is an sole proprietor health care provider with primary practice located at 24 Goldleaf Falls Ave , North Las Vegas NV 89031-2957. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Jackson, Amanda Marie can be contacted via phone (202) 909-5016.

Contact Information

Primary practice address
24 Goldleaf Falls Ave North Las Vegas NV 89031-2957
Phone: (202) 909-5016
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 11782-C Nevada
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1376913111
LBN Legal business name Jackson, Amanda Marie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 6th, 2015
Last updated Apr 2nd, 2025 - about last year

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.

Request for update

Popular Providers