Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101Y00000X | Counselor | ||
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | ||
N | 101YM0800X | Mental Health Counselor | ||
Y | 101YP1600X | Pastoral Counselor | ||
N | 103K00000X | Behavior Analyst |
NPI | 1285903476 |
---|---|
Provider Name | Mr. Robert Anthony Peoples |
First Address | North Las Vegas, NV 89084-2693 |
Second Address | North Las Vegas, NV 89084-2693 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/12/2011 |
Last Update Date | 19/12/2011 |