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NPI Code Detail

MEDICARE: JAYCE HOMEWOOD

MEDICARE: JAYCE HOMEWOOD
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 Counselor
2106S00000XBehavior Technician

General Provider Information

NPI Number : 1083353007
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAYCE HOMEWOOD
Provider Business Mailing Address
First Line : 2560 BUSINESS PKWY STE A
Second Line :
City : MINDEN
State : NV
Zip : 89423-8961
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6160 PLUMAS ST STE 100
Second Line :
City : RENO
State : NV
Zip : 89519-6057
Country : US
Telephone Number : 775-418-1200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2022
Last Update Date : 03/05/2025

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Directions to “ JAYCE HOMEWOOD ” Practice Location

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