Provider Demographics
NPI:1396048013
Name:CIRAME, EDWIN (LCPC)
Entity type:Individual
Prefix:MR
First Name:EDWIN
Middle Name:
Last Name:CIRAME
Suffix:
Gender:M
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 N PECOS RD
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89101-2408
Mailing Address - Country:US
Mailing Address - Phone:702-455-5225
Mailing Address - Fax:702-455-0194
Practice Address - Street 1:601 N PECOS RD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89101-2408
Practice Address - Country:US
Practice Address - Phone:702-455-5225
Practice Address - Fax:702-455-0194
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-20
Last Update Date:2014-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVCI0020101YM0800X
NVCP0073101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health