Provider Demographics
NPI:1215459268
Name:GEE, KENOSHA JESSICA DEON
Entity type:Individual
Prefix:MS
First Name:KENOSHA
Middle Name:JESSICA DEON
Last Name:GEE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1017 ASPEN HILL CIR
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89108-1724
Mailing Address - Country:US
Mailing Address - Phone:702-664-5425
Mailing Address - Fax:
Practice Address - Street 1:2225 E FLAMINGO RD.
Practice Address - Street 2:TOP NOTCH BEHAVIORAL SERVICES
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119
Practice Address - Country:US
Practice Address - Phone:702-800-8543
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-12
Last Update Date:2017-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health