| NPI | 1104584507 |
|---|---|
| Professional Name | ERIC ANTHONY TAVERAS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CT 5281) |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2021-12-02 |
| Last Update Date | 2021-12-02 |