| NPI | 1013582014 |
|---|---|
| Other Name | J.R. STOVER |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2021-05-21 |
| Last Update Date | 2021-05-21 |