Provider Demographics
NPI:1619390440
Name:JAGER, ALAN (MS, LCPC)
Entity type:Individual
Prefix:
First Name:ALAN
Middle Name:
Last Name:JAGER
Suffix:
Gender:M
Credentials:MS, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:704 W SUNSET RD
Mailing Address - Street 2:SUITE B9
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89011-4633
Mailing Address - Country:US
Mailing Address - Phone:702-558-8600
Mailing Address - Fax:
Practice Address - Street 1:222 S RAINBOW BLVD STE 113-114
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89145-5340
Practice Address - Country:US
Practice Address - Phone:702-518-1546
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-30
Last Update Date:2024-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVCP1191101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health