NPI | 1033664784 |
---|---|
Other Name | JOHN MICHAEL DUFFEY |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AL 3406) |
Additional Taxonomies | 101Y00000X Counselor |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AL 3406) | |
Enumeration Date | 2016-08-23 |
Last Update Date | 2023-10-23 |