| NPI | 1093876872 |
|---|---|
| Professional Name | CAROL COUNTRYMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 67) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NE 1136) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2023-10-25 |