| NPI | 1083262141 |
|---|---|
| Former Name | ROBERT C PRESTON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR R8792) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 22-R-13) |
| 101YM0800X Counselor, Mental Health (Licence: OR 22-QMHPC-001173) | |
| Enumeration Date | 2019-08-30 |
| Last Update Date | 2025-01-01 |