| Carson Valley Youth Camp | |
|
2869 Esaw St Minden NV 89423-9059 | |
| (775) 267-1775 | |
| (775) 267-1775 |
| Full Name | Carson Valley Youth Camp |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2869 Esaw St, Minden, Nevada |
| Authorized Official Name and Position | James Hilton Jackson (OWNER/OPERATOR) |
| Authorized Official Contact | 7752467748 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carson Valley Youth Camp 511 Yellow Jacket Rd Dayton NV 89403-8081 Ph: (775) 246-7748 | Carson Valley Youth Camp 2869 Esaw St Minden NV 89423-9059 Ph: (775) 267-1775 |
| NPI Number | 1366543928 |
|---|---|
| Provider Enumeration Date | 09/26/2006 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366543928 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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