NPI | 1083040810 |
---|---|
Other Name | AISHIA LEVERETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC008747) |
Additional Taxonomies | 101Y00000X Counselor (Licence: SC CAC II) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: SC CAC II) | |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: GA 3076-R) | |
Enumeration Date | 2013-09-25 |
Last Update Date | 2021-09-14 |