Individual ProviderJennifer Michelle EganaCounselorBehavioral Health & Social Service ProvidersPractice Address6171 W Charleston Blvd Bldg 14, Las Vegas, NV 89146-1126(702) 468-7664(702) 486-7664PECOS EnrollmentBased on the most recent information from CMS, provider Jennifer Michelle Egana does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1831669266Provider TypeIndividualFull NameEgana, Jennifer MichelleGenderFemaleSole ProprietorYesEnumeration Date11/28/2018Last Updated11/28/2018Contact InformationPractice LocationPractice Address6171 W Charleston Blvd Bldg 14, Las Vegas, NV 89146-1126Phone(702) 468-7664FaxUnlisted FaxMailing LocationMailing Address6171 W Charleston Blvd Bldg 14, Las Vegas, NV 89146-1126Phone(702) 486-7664FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer