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NPI Code Detail

MEDICARE: JENNIFER LYNN HUSE CI-5430

MEDICARE: JENNIFER LYNN HUSE CI-5430
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorCI5430NV

General Provider Information

NPI Number : 1548570245
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER LYNN HUSE CI-5430
Provider Business Mailing Address
First Line : 1901 S JONES BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89146-1260
Country : US
Telephone Number : 702-449-4095
Fax Number : 702-749-3202
Provider Business Practice Location Address
First Line : 1901 S JONES BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89146-1260
Country : US
Telephone Number : 702-449-4095
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/15/2010
Last Update Date : 11/19/2025

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