Provider Demographics
NPI:1275271140
Name:SIGNI, CLERNACE
Entity Type:Individual
Prefix:
First Name:CLERNACE
Middle Name:
Last Name:SIGNI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4348 RICHTOWN ST
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89115-3842
Mailing Address - Country:US
Mailing Address - Phone:626-626-0038
Mailing Address - Fax:
Practice Address - Street 1:4348 RICHTOWN ST
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89115-3842
Practice Address - Country:US
Practice Address - Phone:626-626-0038
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-21
Last Update Date:2022-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool