Individual
ISSAC POAGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
650 E AZURE AVE APT 2059, NORTH LAS VEGAS, NV 89081-6876
(708) 288-5256
Mailing address
650 E AZURE AVE APT 2059, NORTH LAS VEGAS, NV 89081-6876
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/22/2016
Last updated
12/22/2016
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