Tasman Cleaver

NPI #1215478110 in Pocatello, Idaho

Provider Information

NPI Number: 1215478110
Entity Type: Individual
Name: Tasman Cleaver
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Mar 13, 2017
Last Updated: Mar 13, 2017

Practice Location

Address: 224 S ARTHUR AVE STE 2
City: Pocatello
State: Idaho
ZIP Code: 83204-3202
Phone: (208) 242-3771

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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