| NPI | 1023226925 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP1600X Counselor Pastoral |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: IN 87000653A) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: IN 86000127A) | |
| 101YM0800X Counselor Mental Health (Licence: NY 002224) | |
| 101YM0800X Counselor Mental Health (Licence: IN 39000509A) | |
| 103TP2701X Psychologist Group Psychotherapy | |
| 106H00000X Marriage & Family Therapist (Licence: NY 000899) | |
| 174V00000X Clinical Ethicist | |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2022-07-21 |