Provider Demographics
NPI:1073216354
Name:RHONE, ANTWAN
Entity Type:Individual
Prefix:
First Name:ANTWAN
Middle Name:
Last Name:RHONE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3832 E JASPER DR
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85296-8252
Mailing Address - Country:US
Mailing Address - Phone:707-398-8117
Mailing Address - Fax:
Practice Address - Street 1:3832 E JASPER DR
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85296-8252
Practice Address - Country:US
Practice Address - Phone:707-398-8117
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-24
Last Update Date:2023-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health