Individual
TAWAN ANTHONY MCNAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2815 W FORD AVE, LAS VEGAS, NV 89123-6664
(702) 555-1212
Mailing address
2815 W FORD AVE, LAS VEGAS, NV 89123-6664
(702) 555-1212
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
10/16/2017
Last updated
10/16/2017
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