MEDICARE: JEANINNE ABEL CPC INTERN

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
1	101YP2500X	Professional Counselor	CP5921	NV

General Provider Information

NPI Number	:	1558143693
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEANINNE ABEL CPC INTERN

Provider Business Mailing Address
First Line	:	3172 N RAINBOW BLVD # 1310
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89108-4534
Country	:	US
Telephone Number	:	702-280-2500
Fax Number	:

Provider Business Practice Location Address
First Line	:	9402 W LAKE MEAD BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89134-8312
Country	:	US
Telephone Number	:	702-280-2500
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/13/2023
Last Update Date	:	03/25/2026

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Directions to “ JEANINNE ABEL CPC INTERN” Practice Location

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