Wellformed AI

NPI 1255776423 · live from the CMS NPI Registry

Easton Errol Allen

Counselor in Las Vegas, NV. National Provider Identifier 1255776423, active.

NPI record

NPI1255776423 Type 1 · individual
StatusActive
Primary specialtyCounselor 101Y00000X
Practice location3636 Las Vegas Blvd N, Suite B, Las Vegas, NV 89115
Practice phone702-776-8397
Mailing address7022 Oakleigh Dr, Las Vegas, NV 89110
EnumeratedMay 1, 2013
Last updatedMay 1, 2013
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Counselor primary101Y00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.