MEDICARE: JASMINE LE MAY

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1750635454
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JASMINE LE MAY

Provider Business Mailing Address
First Line	:	1916 BASILWOOD CT
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89031-0755
Country	:	US
Telephone Number	:	702-439-3793
Fax Number	:

Provider Business Practice Location Address
First Line	:	800 N RAINBOW BLVD
Second Line	:	110
City	:	LAS VEGAS
State	:	NV
Zip	:	89107-1189
Country	:	US
Telephone Number	:	702-778-8922
Fax Number	:

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

Provider Enumeration Date	:	11/01/2012
Last Update Date	:	11/01/2012

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Directions to “ JASMINE LE MAY ” Practice Location

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