Jared Lord

NPI #1093178071 in North Las Vegas, Nevada

Provider Information

NPI Number: 1093178071
Entity Type: Individual
Name: Jared Lord
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: Mar 29, 2016
Last Updated: Mar 29, 2016

Practice Location

Address: 3407 OCATILLO MESA WAY
City: North Las Vegas
State: Nevada
ZIP Code: 89031-0397
Phone: (702) 764-9321

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Counselor - Mental Health — Mental Health	101YM0800X

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