NPI | 1023434008 |
---|---|
Other Name | NICK SANSONE |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 257416) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 121116) |
104100000X Social Worker (Licence: KY 253535) | |
Enumeration Date | 2014-03-13 |
Last Update Date | 2023-11-07 |