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NPI Code Detail

MEDICARE: MR. ERNEST I POUNCY GUIDANCE COUNSELOR

MEDICARE: MR. ERNEST I POUNCY GUIDANCE COUNSELOR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YS0200XSchool Counselor

General Provider Information

NPI Number : 1346435468
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ERNEST I POUNCY GUIDANCE COUNSELOR
Provider Business Mailing Address
First Line : 5403 S 54TH LN
Second Line :
City : LAVEEN
State : AZ
Zip : 85339-1523
Country : US
Telephone Number : 602-242-0219
Fax Number :
Provider Business Practice Location Address
First Line : 4612 N 28TH ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85016-4931
Country : US
Telephone Number : 602-764-7034
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/11/2007
Last Update Date : 09/11/2007

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