NPI | 1013447531 |
---|---|
Former Name | JEFF LEFEVRE |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA 13979) |
101YM0800X Counselor, Mental Health | |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2017-06-18 |
Last Update Date | 2018-12-13 |