Antawain Tavario King
Rehabilitation Counselor
5370 E Craig Rd 2299
Las Vegas
, Nevada 89115-2100
Antawain Tavario King
Rehabilitation Counselor
5370 E Craig Rd 2299
Las Vegas
, Nevada 89115-2100
(702) 762-1208
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About
Features
Specialties
- Rehabilitation Counselor
Languages spoken
- English
Location
First Address
- Antawain Tavario King
- 5370 E Craig Rd 2299
- Las Vegas, NV
- Zip : 89115-2100
- Phone : (702) 762-1208
Second Address
- Antawain Tavario King
- 5370 E Craig Rd 2299
- Las Vegas, NV
- Zip : 89115-2100
- Phone : (702) 762-1208
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Is Antawain Tavario King a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225C00000X | Rehabilitation Counselor |
National Provider Identifier
| NPI | 1083020069 |
|---|---|
| Provider Name | Antawain Tavario King |
| First Address | Las Vegas, NV 89115-2100 |
| Second Address | Las Vegas, NV 89115-2100 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/07/2014 |
| Last Update Date | 10/07/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.