Provider Demographics
NPI:1538415427
Name:SARNA, JENNIFER MARIE (MS, MFT, LADC)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:MARIE
Last Name:SARNA
Suffix:
Gender:F
Credentials:MS, MFT, LADC
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:MARIE
Other - Last Name:GILROY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3595 S TOWN CENTER DR
Mailing Address - Street 2:SUITE 118
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89135-3019
Mailing Address - Country:US
Mailing Address - Phone:702-497-0946
Mailing Address - Fax:
Practice Address - Street 1:3595 S TOWN CENTER DR
Practice Address - Street 2:SUITE 118
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89135-3019
Practice Address - Country:US
Practice Address - Phone:702-497-0946
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-27
Last Update Date:2015-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV1240101YA0400X
NV1079106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)