Yassi Kuo-Jackson

NPI #1023403474 in Las Vegas, Nevada

Provider Information

NPI Number: 1023403474
Entity Type: Individual
Name: Yassi Kuo-Jackson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist
Enumeration Date: Apr 2, 2015
Last Updated: Apr 2, 2015

Practice Location

Address: 4505 S MARYLAND PKWY
Address 2: BOX 452005
City: Las Vegas
State: Nevada
ZIP Code: 89154-9900
Phone: (972) 367-4845

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary
Psychologist - Counseling — Counseling	103TC1900X

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