Doctor Name: | TASCIA AVCE BRANTON-JONES |
NPI Number: | 1003116450 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 4100023245 |
Business Practice Address: | 6171 W Charleston Blvd Las Vegas, NV - 891461126 |
Business Phone Number: | 7024867664 |
Business Fax Number: | 7024867656 |
Mailing Address: | 8985 S Durango Dr, 1079 LAS VEGAS |
State: | NV |
Postal Code: | 891136117 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 11/01/2010 |
NPI Last Update Date: | 11/01/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 4100023245 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NV |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |