| NPI | 1003698051 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0022083) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ADDC.0000389) |
| 101YM0800X Counselor, Mental Health (Licence: CO LPCC.0020550) | |
| Enumeration Date | 2023-10-16 |
| Last Update Date | 2025-11-13 |