Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YS0200X | School Counselor | $$$$$$$$$ | AZ |
NPI | 1023269560 |
---|---|
Provider Name | Mr. James Michael Powers |
First Address | Flagstaff, AZ 86001-9139 |
Second Address | Flagstaff, AZ 86001-1577 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/10/2008 |
Last Update Date | 02/10/2008 |