Provider Demographics
NPI:1164570586
Name:FLINT, JAN RUTH (MA MFT)
Entity Type:Individual
Prefix:MRS
First Name:JAN
Middle Name:RUTH
Last Name:FLINT
Suffix:
Gender:F
Credentials:MA MFT
Other - Prefix:
Other - First Name:JAN
Other - Middle Name:RUTH
Other - Last Name:KATTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1800 E SAHARA AVE
Mailing Address - Street 2:STE 110
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89104
Mailing Address - Country:US
Mailing Address - Phone:702-796-8857
Mailing Address - Fax:702-796-1193
Practice Address - Street 1:1800 E SAHARA AVE
Practice Address - Street 2:STE 110
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89104
Practice Address - Country:US
Practice Address - Phone:702-796-8857
Practice Address - Fax:702-796-1193
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV478106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist