Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225C00000X | Rehabilitation Counselor |
NPI | 1285066803 |
---|---|
Provider Name | Cleveland Powe IV |
First Address | North Las Vegas, NV 89032-8104 |
Second Address | North Las Vegas, NV 89032-8104 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/08/2013 |
Last Update Date | 06/08/2013 |