| Doctor Name: | MR. KOBLACK REAN RHODES |
| NPI Number: | 1033429618 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | B.A. |
| License Number: | |
| Business Practice Address: | 3435 W. Craig Road Suite A North Las Vegas, NV - 89032 |
| Business Phone Number: | 7027500377 |
| Business Fax Number: | 7025387928 |
| Mailing Address: | 3435 W. Craig Road, Suite A NORTH LAS VEGAS |
| State: | NV |
| Postal Code: | 89032 |
| Phone Number: | 7027500377 |
| Fax Number: | 7025387928 |
| NPI Enumeration Date: | 10/15/2010 |
| NPI Last Update Date: | 10/15/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |