Mrs Chanda M Jackson, LCPC - Counselor in Las Vegas, NV

Mrs Chanda M Jackson, LCPC is a Counselor - Professional based in Las Vegas, Nevada. Mrs Chanda M Jackson is licensed to practice in Nevada (license number CP5102) and her current practice location is 9402 W Lake Mead Blvd, Las Vegas, Nevada. She can be reached at her office (for appointments etc.) via phone at (725) 877-1999.

NPI number for Mrs Chanda M Jackson is 1295159911 and her current mailing address is 9402 W Lake Mead Blvd, Las Vegas, Nevada. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1295159911.

Contact Information

Mrs Chanda M Jackson, LCPC
9402 W Lake Mead Blvd,
Las Vegas, NV 89134-8312
(725) 877-1999
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameMrs Chanda M Jackson
GenderFemale
SpecialityCounselor - Professional
Location9402 W Lake Mead Blvd, Las Vegas, Nevada
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1295159911
  • Provider Enumeration Date: 02/17/2014
  • Last Update Date: 01/27/2024

Medical Identifiers

Medical identifiers for Mrs Chanda M Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295159911NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YP2500XCounselor - Professional 21472 (Arizona)Secondary
101YP2500XCounselor - Professional CP5102 (Nevada)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Chanda M Jackson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Chanda M Jackson, LCPC
9402 W Lake Mead Blvd,
Las Vegas, NV 89134-8312

Ph: (725) 800-1146
Mrs Chanda M Jackson, LCPC
9402 W Lake Mead Blvd,
Las Vegas, NV 89134-8312

Ph: (725) 877-1999

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