Provider Demographics
NPI:1972072635
Name:JONES, SABRINA ESTEL (PSR)
Entity Type:Individual
Prefix:
First Name:SABRINA
Middle Name:ESTEL
Last Name:JONES
Suffix:
Gender:F
Credentials:PSR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3825 CRAIG CROSSING DR APT 3043
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89032-1267
Mailing Address - Country:US
Mailing Address - Phone:702-807-6100
Mailing Address - Fax:
Practice Address - Street 1:3825 CRAIG CROSSING DR APT 3043
Practice Address - Street 2:
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89032-1267
Practice Address - Country:US
Practice Address - Phone:702-807-6100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-24
Last Update Date:2021-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103TR0400X
NV251B00000X, 251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No103TR0400XBehavioral Health & Social Service ProvidersPsychologistRehabilitationGroup - Multi-Specialty
No251B00000XAgenciesCase ManagementGroup - Multi-Specialty